LaDou J, Sherwood J N, Hughes L
West J Med. 1979 Mar;130(3):280-5.
A program of annual health examinations was expanded to include counseling based on a computerized appraisal of individual patients' specific health risk factors. Data obtained from a specially designed questionnaire, laboratory tests and a physical examination yielded a health hazard appraisal showing a number of weighted risk factors and their relation to ten leading causes of death as determined for that patient. From all of this information, a "risk age" was developed which could then be compared with the patient's "true age." The results were reviewed with each patient, and methods of correcting health hazards were stressed. The first annual retesting of a group of 107 examinees showed a net risk age reduction of 1.4 years (formerly reported in this journal). The longer term follow-up reported in this paper showed a net risk reduction of 2.38 years in a group of 26 examinees. The net risk age reduction in the two groups represented 32 and 40 percent, respectively, of the achievable risk age reduction when patients comply with suggestions made during risk reduction counseling. These findings indicate that health hazard appraisal counseling is an effective method of altering priorities of health practices.
一项年度健康检查计划得以扩展，将基于对个体患者特定健康风险因素的计算机评估进行咨询纳入其中。从一份专门设计的问卷、实验室检查和体格检查中获取的数据，得出了一份健康危害评估报告，该报告显示了若干加权风险因素及其与该患者所确定的十大主要死因的关系。根据所有这些信息，得出了一个“风险年龄”，然后可将其与患者的“实际年龄”进行比较。结果会与每位患者进行复查，并强调纠正健康危害的方法。对一组107名受检者的首次年度重新检测显示，风险年龄净降低了1.4岁（本刊此前曾有报道）。本文所报告的长期随访结果显示，一组26名受检者的风险净降低了2.38岁。两组中风险年龄的净降低分别占患者遵循风险降低咨询期间所提建议时可实现的风险年龄降低的32%和40%。这些发现表明，健康危害评估咨询是改变健康行为优先顺序的一种有效方法。
