Williamson P S, Driscoll C E, Dvorak L D, Garber K A, Shank J C
Committee on Research, Iowa Academy of Family Physicians, Des Moines.
J Fam Pract. 1988 Aug;27(2):187-92.
Periodic preventive screening programs will require patient cooperation if they are to be successful. To determine the level of patient interest on a broad scale, 1,788 adult patients were surveyed in 47 family physicians' offices over a statewide area. Seventy percent said they had participated in a screening health checkup in the preceding two years. Nine percent of these patients reported discovering a previously unknown condition as a result of their recent screening examination. The majority of surveyed patients said they would agree to be screened or treated with the complete list of eight suggested procedures for men and ten procedures for women. Rates of patient acceptance of specific health maintenance recommendations ranged from a low of 54 percent for influenza immunization to a high of 91 percent for a blood pressure check. Listing typical costs did not alter the selection rates of patients with insurance coverage compared with those without it. The geriatric age group was the least willing to be screened. Seventy-two percent of patients indicated that they wanted to discuss at least one wellness topic with their physician. Overall, most patients are willing to participate in the concept of a periodic health maintenance examination as recommended to them by their physician.
定期预防性筛查项目若要取得成功，就需要患者的配合。为了广泛确定患者的兴趣程度，在全州范围内的47个家庭医生诊所对1788名成年患者进行了调查。70%的人表示他们在前两年参加过一次筛查健康体检。这些患者中有9%报告称，由于最近的筛查检查发现了之前未知的病情。大多数接受调查的患者表示，他们会同意接受为男性建议的八项检查程序和为女性建议的十项检查程序的完整清单进行筛查或治疗。患者对特定健康维护建议的接受率从流感疫苗接种的54%的低接受率到血压检查的91%的高接受率不等。列出典型费用并没有改变有保险和没有保险的患者的选择率。老年年龄组最不愿意接受筛查。72%的患者表示他们希望与医生讨论至少一个健康话题。总体而言，大多数患者愿意参与医生向他们推荐的定期健康维护检查的理念。
