Connelly J E, Mushlin A I
J Gen Intern Med. 1986 May-Jun;1(3):163-5. doi: 10.1007/BF02602330.
When patients request checkups, physicians may assume it is for detection of asymptomatic disease. However, such patients may have other, covert reasons for seeking medical care which might not be addressed by a periodic health examination. The authors interviewed 38 consecutive patients who requested a new appointment at an academic, hospital-based general medical practice, and said the appointment was for a checkup and not an acute problem. Health screening was the principal reason for requesting evaluation of only 24% of patients. Fifty-two per cent had two or more reasons: psychosocial problems, health concerns, or symptoms. Psychosocial problems, with and without other problems, were the reason 45% of patients requested checkups. Physicians should be alert to the various reasons why patients request checkups, and not assume that a periodic health examination alone is an appropriate response.
当患者要求进行体检时，医生可能会认为这是为了检测无症状疾病。然而，这类患者寻求医疗护理可能有其他隐秘的原因，而定期健康检查可能无法解决这些原因。作者采访了38位连续在一家学术性的、以医院为基础的普通医疗诊所预约新号的患者，这些患者表示预约是为了进行体检而非急症问题。健康筛查只是24%的患者要求进行评估的主要原因。52%的患者有两个或更多原因：心理社会问题、健康担忧或症状。有或没有其他问题的心理社会问题是45%的患者要求进行体检的原因。医生应该警惕患者要求进行体检的各种原因，而不应假定仅进行定期健康检查就是合适的应对方式。
