Keller K G, Ogle K S
Michigan State University College of Osteopathic Medicine, East Lansing 48824.
Fam Pract Res J. 1989 Spring-Summer;8(2):85-91.
Coronary artery disease (CAD) is a significant health problem in the United States, and hypercholesterolemia is a major risk factor for its development. The role of the primary care physician in screening and treatment is increasingly recognized as crucial. Our research addressed screening of 296 adult male patients aged 20-39 for hypercholesterolemia during two time periods. A chart review was conducted in a family practice residency model office to determine if screening was being performed and what factors influenced it (CAD risk factors, demographics, and insurance status). Forty-three percent of the patients had a cholesterol test on record, of which only 10% were ordered specifically to check the cholesterol. Demographic characteristics, insurance, and CAD risk factors did not influence the rate of testing, with the single exception of hypertension; an educational conference and the development of a practice policy between the two time periods did not change the rate of screening.
冠状动脉疾病（CAD）在美国是一个重大的健康问题，而高胆固醇血症是其发展的主要危险因素。初级保健医生在筛查和治疗中的作用日益被认为至关重要。我们的研究针对两个时间段内296名年龄在20至39岁的成年男性患者进行了高胆固醇血症筛查。在一个家庭医疗住院医师模式的办公室进行了病历审查，以确定是否进行了筛查以及哪些因素影响了筛查（CAD危险因素、人口统计学特征和保险状况）。43%的患者有胆固醇检测记录，其中只有10%是专门为检查胆固醇而进行的检测。人口统计学特征、保险和CAD危险因素均未影响检测率，唯一的例外是高血压；在两个时间段之间举办的一次教育会议和制定的一项实践政策并没有改变筛查率。
