Freer C B
J R Coll Gen Pract. 1987 Oct;37(303):455-6.
The lack of evidence to support formal annual screening of all older people does not weaken arguments for a preventive and anticipatory component to primary care. A number of short screening schedules for use by nurses or volunteers or for self-completion by patients have been developed. Patients 'failing' the screening stage are then fully assessed. This paper describes the design and pilot study of a brief anticipatory care system which can be integrated into routine general practice as the first stage of the twostage process. It was found that only about 28 of the 102 patients screened required follow up and in general the doctors found the system easy to administer during normal surgery sessions.
缺乏支持对所有老年人进行正式年度筛查的证据,这并未削弱在初级保健中纳入预防和预应性内容的论据。现已制定了一些供护士或志愿者使用的简短筛查方案,或供患者自行完成的筛查方案。那些在筛查阶段 “未通过” 的患者随后会接受全面评估。本文描述了一个简短预应性护理系统的设计和试点研究,该系统可作为两阶段流程的第一阶段纳入常规全科医疗。结果发现,在接受筛查的102名患者中,只有约28人需要后续跟进,总体而言,医生们发现在正常诊疗时段该系统易于管理。