Swee D E, Micek-Galinat L
Department of Family Medicine, UMDNJ.
N J Med. 1991 Jul;88(7):487-91.
It is hoped that practicing physicians no longer will give knee jerk reactions to the variety of national screening recommendations. Screening criteria that need to be fulfilled include characteristics of the disease, characteristics of the test, and characteristics of the population to be screened. In the day-to-day practice of medicine, six key questions regarding the applications of screening recommendations to individual patients have been developed. These include the qualifying questions regarding the patient's age, frequency of testing, cost effectiveness of testing, realistic practice for the physician, appropriate setting, and applicability to the patient in question. In the future, research in the area of screening needs to focus on the demographics of a greater variety of asymptomatic population groups, the effectiveness of current recommendations and guidelines, and the development of new, effective screening tests.
希望执业医师不再对各种全国性筛查建议做出本能反应。需要满足的筛查标准包括疾病特征、检测特征以及待筛查人群的特征。在日常医疗实践中，已经提出了关于将筛查建议应用于个体患者的六个关键问题。这些问题包括关于患者年龄、检测频率、检测成本效益、医生的实际操作、合适的环境以及对相关患者适用性的限定性问题。未来，筛查领域的研究需要关注更多无症状人群组的人口统计学特征、当前建议和指南的有效性，以及开发新的有效筛查测试。
