Huygen F J
Tijdschr Gerontol Geriatr. 1986 Oct;17(5):201-4.
A systematic periodic check-up of all aged by the general practitioner would result in an impracticable workload of the GP, while the benefits of this check-up have never been proved irrefutably. Good arguments can be brought forward however for regular visits by the health visitor to survey the social and medical conditions, referring to the GP and social work agencies if necessary. This kind of surveillance has been proved to be feasible. The most important task in preventive respect for the GP is to forestall unnecessary deterioration of health and validity by optimal diagnosis and treatment of the aged under his care, by surveillance and anticipatory care. The new possibilities of data automation with personal computers offer important perspectives in this respect. The use of these possibilities will help the GP to learn to look at his practice population as a population at risk in which the category of the aged is prone to particular risks. As the GP has contact with 85% of the aged in his practice during one year, a systematization of the surveillance of these risk categories should be easily practicable.
由全科医生对所有老年人进行系统的定期检查，会导致全科医生的工作量变得不切实际，而这种检查的益处从未得到过确凿证明。然而，有充分的理由支持健康访视员定期上门，以调查社会和医疗状况，并在必要时转诊给全科医生和社会工作机构。事实证明，这种监测是可行的。从预防的角度来看，全科医生最重要的任务是通过对其护理下的老年人进行最佳诊断和治疗、监测和预防性护理，防止健康状况和生活能力出现不必要的恶化。个人电脑带来的数据自动化新可能性在这方面提供了重要的前景。利用这些可能性将有助于全科医生学会将其服务人群视为有风险的人群，其中老年人更容易面临特定风险。由于全科医生在一年中会接触到其服务范围内85%的老年人，因此对这些风险类别进行监测的系统化应该很容易实现。
