Lowther C P, MacLeod R D, Williamson J
Br Med J. 1970 Aug 1;3(5717):275-7. doi: 10.1136/bmj.3.5717.275.
Medical examination was offered to a group of "high risk" old people who were not necessarily patients or known to their family doctors, but with the agreement of these family doctors. Two clinics set up for this purpose have been running for several years, and the results of examination and follow-up of 300 consecutive patients are reported.Major conditions were found in two-thirds of patients producing functional impairment in most of these.Recommendations as to therapy and management were carried out in 161 of 194 patients but not in the remainder.Clear evidence of improvement was found in half of the patients who carried out recommendations, and this improvement was attributable to earlier diagnosis than would have been achieved without these clinics in 42% of cases.Including all patients examined, the proportion helped by early diagnosis at 18 to 30 months' follow-up was 23%.It is concluded that the offer of a routine examination to high risk groups is of benefit to old people and a form of medical practice which should be widely adopted.
为一组“高危”老年人提供了体检服务，这些老年人不一定是患者，家庭医生也不一定认识他们，但得到了这些家庭医生的同意。为此设立的两家诊所已经运营了数年，报告了对300名连续患者的检查和随访结果。在三分之二的患者中发现了主要病症，其中大多数导致了功能障碍。194名患者中有161名患者接受了关于治疗和管理的建议，其余患者则未接受。在执行建议的患者中，有一半发现了明显的改善迹象，在42%的病例中，这种改善归因于比没有这些诊所时更早的诊断。包括所有接受检查的患者，在18至30个月的随访中，因早期诊断而受益的比例为23%。结论是，为高危人群提供常规检查对老年人有益，是一种应广泛采用的医疗实践形式。
