Romm F J
J Fam Pract. 1984 Aug;19(2):191-5.
The periodic health examination is a major part of medical care in the United States, but has been infrequently studied. Adult family medicine center patients were surveyed to learn their expectations about the timing and content of preventive checkups. Over 90 percent desired such examinations, most often on an annual basis. At least 75 percent selected care items that added up to extensive physical examinations and use of laboratory and other procedures. Their choices usually exceeded those recommended by an expert group as most likely to detect or prevent disease. Other data showed that recorded practice by their physicians neither met their expectations nor was consistent with recommended care patterns. These findings suggest the need to align patients' and their physicians' expectations to allow more effective practice of preventive care.
定期健康检查是美国医疗保健的重要组成部分，但很少有人对此进行研究。对成人家庭医学中心的患者进行了调查，以了解他们对预防性检查的时间安排和内容的期望。超过90%的人希望进行此类检查，最常见的是每年一次。至少75%的人选择了一系列护理项目，这些项目加起来相当于全面的身体检查以及实验室检查和其他检查手段的使用。他们的选择通常超出了一个专家小组推荐的最有可能发现或预防疾病的检查项目。其他数据显示，他们的医生所记录的诊疗行为既未达到他们的期望，也与推荐的护理模式不一致。这些发现表明，有必要使患者及其医生的期望保持一致，以便更有效地开展预防性护理。
