Levine J A
Department of General Practice and Clinical Epidemiology, Royal Free Hospital School of Medicine, London.
J R Soc Med. 1991 May;84(5):280-3. doi: 10.1177/014107689108400512.
In order to determine whether patients are in favour of general health screening, two sex-matched groups of patients of similar age from a general practice were studied; a group of 315 consecutive patients who attended the practice and 93 individuals who had not attended the practice for at least 12 months were studied. Individuals in both groups were provided with a short, anonymous questionnaire about their desire for general health screening. Although roughly equal proportions of the attenders (93%) and non-attenders (88%) indicated that general health screening was a 'good idea', a significantly greater proportion of the attenders (83%) indicated that they would make an appointment and attend the practice for health screening compared to the non-attenders (66%) (P less than 0.002). Similarly, a significantly greater proportion of the attenders (33%) indicated that they would seek general health screening, even if not contacted by their doctor, when compared with the non-attenders (16%) (P less than 0.001). Thus patients in this study were greatly in favour of general health screening. However, patients who attended the general practice infrequently may represent a population who are relatively resistant to health screening.
为了确定患者是否赞成一般健康筛查，对来自一家普通诊所的两组年龄相仿、性别匹配的患者进行了研究；一组是连续就诊的315名患者，另一组是至少12个月未到该诊所就诊的93名个体。两组个体都收到了一份简短的匿名问卷，询问他们对一般健康筛查的意愿。虽然大致相同比例的就诊者（93%）和未就诊者（88%）表示一般健康筛查是个“好主意”，但与未就诊者（66%）相比，明显更高比例的就诊者（83%）表示他们会预约并到诊所进行健康筛查（P小于0.002）。同样，与未就诊者（16%）相比，明显更高比例的就诊者（33%）表示即使医生没有联系他们，他们也会主动进行一般健康筛查（P小于0.001）。因此，本研究中的患者非常赞成一般健康筛查。然而，不常去普通诊所就诊的患者可能代表了对健康筛查相对抵触的人群。
