Christie D
J R Coll Gen Pract. 1979 Oct;29(207):597-601.
In 1967/68, a screening examination was carried out on 18,277 male London civil servants, of whom 488 were referred to their general practitioners with high blood pressure. After this referral, 23 per cent did not attend their doctor and among those who did, a relatively high frequency of anxiety was noted. In one third of the patients, the general practitioners were already aware of the presence of hypertension, but were not treating it. This reluctance to treat asymptomatic people continued with the management of referred and confirmed newly diagnosed hypertensive patients. The problems associated with mass screening examinations can be overcome by careful, expensive and time-consuming preparations. Where the purpose is to find and treat newly diagnosed hypertensive patients then screening by general practitioners is likely to be a more cost-effective approach.
1967/1968年，对18277名伦敦男性公务员进行了筛查，其中488人因高血压被转介给他们的全科医生。转介后，23%的人没有去看医生，而去看医生的人中有相对较高的焦虑发生率。三分之一的患者，全科医生已经知道他们患有高血压，但并未进行治疗。对于转介并确诊的新诊断高血压患者的管理，这种不愿治疗无症状患者的情况依然存在。大规模筛查检查相关的问题可以通过精心、昂贵且耗时的准备工作来克服。如果目的是发现并治疗新诊断的高血压患者，那么全科医生进行筛查可能是一种更具成本效益的方法。
