Fletcher S W, Sourkes M, Rabzel M, Fletcher R H
JAMA. 1977 Feb 28;237(9):887-91. doi: 10.1001/jama.237.9.887.
Multiphasic screening as a case-finding tool was evaluated in a randomized, controlled study. For each of 112 physicians, a patient was assigned to one of three groups: multiphasic screening group (SG), chart abstract group (AG), or chart review group (RG). Medical problem lists constructed before and after receiving additional information were compared. Physicians for 36 SG patients identified considerably more new medical problems, both total (77) and ones they considered important (25), than 40 AG physicians (14 and 8) and 36 RG physicians (4 and 0). One year later, 38 of the 95 newly identified problems had been acted on, 31 in the SG. Medical care was affected in nine patients: six in SG, two in AG, and one in RG. Multiphasic screening may help physicians identify new medical problems in clinic patients.
在一项随机对照研究中，对多相筛查作为一种病例发现工具进行了评估。对于112名医生中的每一位，将一名患者分配到三个组之一：多相筛查组（SG）、图表摘要组（AG）或图表审查组（RG）。比较了在接收额外信息前后构建的医疗问题清单。36名SG组患者的医生识别出的新医疗问题，无论是总数（77个）还是他们认为重要的问题（25个），都比40名AG组医生（14个和8个）和36名RG组医生（4个和0个）多得多。一年后，95个新发现问题中的38个得到了处理，其中SG组有31个。9名患者的医疗护理受到了影响：SG组6名，AG组2名，RG组1名。多相筛查可能有助于医生识别门诊患者的新医疗问题。
