Ford G, Taylor R
J R Coll Gen Pract. 1985 May;35(274):244-7.
This paper reconsiders the evidence for underconsultation among the elderly. Earlier evidence from studies of unreported illness is reassessed and new data are presented for the ratio of self-reported illness to number of consultations. It is concluded that underconsultation among the elderly is exaggerated and that there are implications for screening and case-finding. It is suggested that attention should be directed towards a combination of self-referral and multi-tiered screening for low contact and high risk groups.
本文重新审视了老年人就诊不足的证据。对早期关于未报告疾病研究的证据进行了重新评估，并给出了自我报告疾病与就诊次数之比的新数据。结论是，老年人就诊不足的情况被夸大了，这对筛查和病例发现有影响。建议应将注意力转向针对低接触和高风险群体的自我转诊与多层筛查相结合的方式。
