Dvonch V M, Siegler A H, Cloppas C C, Bunch W H
Department of Surgery, University of Chicago, Illinois.
J Pediatr Orthop. 1990 Mar-Apr;10(2):206-7.
Questionnaires submitted to children subsequent to school screening for scoliosis reveal that 13% of respondents recall being referred to a physician. This rate is considerably higher than the 3% referral rate reported by school health officials. The discrepancy points to misperceptions by students and their parents as a likely cause of "schooliosis, " a condition which brings a flood of normal children into the offices of orthopaedists and pediatricians. Correcting possible communications problems, rather than blaming the screening program, should ease the over-referral phenomenon and allow screening to continue at its present efficient levels.
在学校进行脊柱侧弯筛查后向儿童发放的调查问卷显示,13%的受访者记得曾被转诊给医生。这一比例远高于学校卫生官员报告的3%的转诊率。这种差异表明,学生及其家长的误解可能是导致“学校性脊柱侧弯”的原因,这种情况使得大量正常儿童涌入骨科医生和儿科医生的诊室。纠正可能存在的沟通问题,而不是指责筛查项目,应该会缓解过度转诊现象,并使筛查能够以目前的高效水平继续进行。