Anggard E E, Land J M, Lenihan C J, Packard C J, Percy M J, Ritchie L D, Shepherd J
Br Med J (Clin Res Ed). 1986 Jul 19;293(6540):177-80. doi: 10.1136/bmj.293.6540.177.
A screening model based in general practice for the detection of subjects at risk of premature cardiovascular disease is described. Opportunistic screening is performed by a trained nurse who also gives initial advice on management. Immediate feedback to patients is possible since a rapid dry chemistry technique is used to measure blood cholesterol concentrations. The collation and analysis of data are achieved using a microcomputer. A central deidentified database is incorporated to allow epidemiological studies and intervention strategy evaluations to be made. Nineteen health centres have evaluated the model, and 40,000 subjects have been screened: 10% had diastolic blood pressures of over 95 mm Hg and 15% had a blood cholesterol concentration over 7 mmol/l (270 mg/100 ml) and 2% over 9 mmol/l (347 mg/100 ml). The initial data suggest that the model is acceptable to both health centre personnel and the general public and that the offer of screening is taken up by all elements of the target population.
本文描述了一种基于全科医疗的筛查模型，用于检测有过早发生心血管疾病风险的人群。由经过培训的护士进行机会性筛查，该护士还会提供初步的管理建议。由于采用快速干化学技术测量血液胆固醇浓度，因此可以立即向患者反馈结果。使用微型计算机进行数据整理和分析。纳入了一个经过身份识别处理的中央数据库，以便进行流行病学研究和评估干预策略。19个健康中心对该模型进行了评估，已筛查了40000名受试者：10%的人舒张压超过95毫米汞柱，15%的人血液胆固醇浓度超过7毫摩尔/升（270毫克/100毫升），2%的人超过9毫摩尔/升（347毫克/100毫升）。初步数据表明，该模型为健康中心工作人员和普通公众所接受，且目标人群的各个部分都接受了筛查服务。
