[在“健康号”轮船上的医学检查。对高危人群有益，还是健康及注重健康的患者的自我选择？]

[Medical check-ups on the <<Gesundheitsschiff>>. Benefit for population at risk or self-selection of healthy and health-conscious patients?].

作者信息

Huber C A, Bandi-Ott E, Käser L, Rosemann T, Senn O

机构信息

Institut für Hausarztmedizin und Versorgungsforschung der Universität Zürich.

出版信息

Praxis (Bern 1994). 2009 Dec 2;98(24):1421-7. doi: 10.1024/1661-8157.98.24.1421.

DOI:10.1024/1661-8157.98.24.1421

PMID:19953467

Abstract

The aim of the present study was to assess health related characteristics and reasons for participation on the <>, second, to compare these variables with a representative Swiss Health Survey (SHS). Characteristics of the participants were collected cross-sectionally and afterwards compared with results of the SHS. Response rate was 74.6% (n = 206). Compared to the SHS population smoking rate and alcohol consumption were significantly lower and a doctor's visit within the last 12 months more frequent. Considerable differences in health related characteristics exist between our study and the SHS suggesting a self-selection of healthy people. Thus a potential health gain by this kind of medical prevention program is at least questionable.

摘要

本研究的目的是评估与健康相关的特征以及参与“体检游轮”活动的原因，其次，将这些变量与具有代表性的瑞士健康调查（SHS）进行比较。对参与者的特征进行了横断面收集，随后与SHS的结果进行了比较。回复率为74.6%（n = 206）。与SHS人群相比，吸烟率和酒精消费量显著较低，而在过去12个月内看医生的频率更高。我们的研究与SHS在与健康相关的特征方面存在相当大的差异，这表明存在健康人群的自我选择。因此，这种医疗预防计划潜在的健康益处至少是值得怀疑的。