Booth C S, Safer M A, Leventhal H
Public Health Rep. 1986 May-Jun;101(3):315-9.
Cardiac screening programs are ineffective when participants with abnormal findings fail to seek treatment and, to a lesser extent, when participants with normal findings use medical facilities unnecessarily because of continuing concern about heart disease. Age, sex, measure of concern about cardiac symptoms and life stress, and abnormal test results were used to predict the use of physician services in the 3 months following screening. Abnormal test results predicted the use of physician services after screening, as did being older, and having life stress and concern about cardiac symptoms. Being older, male, and concerned about cardiac symptoms predicted having at least one abnormal test result. Participants with normal findings and high levels of concern about cardiac symptoms were as likely to see a physician after the screening as were persons with abnormal findings and low levels of concern about cardiac symptoms. Emphasizing participants' concern about symptoms of heart disease or feelings of stress failed to produce an increase in followup for persons who had abnormal screening outcomes.
当检查结果异常的参与者未能寻求治疗时，心脏筛查项目是无效的；在较小程度上，当检查结果正常的参与者因持续担心心脏病而不必要地使用医疗设施时，心脏筛查项目也是无效的。年龄、性别、对心脏症状和生活压力的担忧程度以及异常的检查结果被用于预测筛查后3个月内对医生服务的使用情况。异常的检查结果预测了筛查后对医生服务的使用情况，年龄较大、有生活压力以及对心脏症状感到担忧也能预测这一点。年龄较大、男性以及对心脏症状感到担忧预测会有至少一项异常的检查结果。检查结果正常但对心脏症状高度担忧的参与者在筛查后看医生的可能性与检查结果异常但对心脏症状担忧程度较低的人相同。强调参与者对心脏病症状或压力感受的担忧，未能使筛查结果异常的人增加后续跟进。
