Nilsson C, Sundelin C, Vuille J C
Acta Paediatr Scand. 1977 May;66(3):289-95. doi: 10.1111/j.1651-2227.1977.tb07896.x.
Data presented in a previous paper pointed to the necessity for improving the overall sensitivity of the psychological screening program. The present report indicates possibilities for such an improvement without changing the screening methods. A comparison of the primary data of the true positives, the false positives and all the negatives (non-referred) revealed the necessity of more stringent referral criteria. It is predicted that the systematic application these criteria would result in an increase in the rate of true positives form 2.8 to 4.8% of the screened population. In addition a strategy aiming at a reduction of the costs without deteriorating the effectiveness and based on a differential application of the various elements of the screening program is presented.
上一篇论文中呈现的数据表明有必要提高心理筛查项目的整体敏感性。本报告指出了在不改变筛查方法的情况下实现这种改进的可能性。对真阳性、假阳性和所有阴性（未被转诊）的原始数据进行比较后发现，需要更严格的转诊标准。预计系统应用这些标准将使真阳性率从被筛查人群的2.8%提高到4.8%。此外，还提出了一种在不降低有效性的前提下降低成本的策略，该策略基于对筛查项目各个要素的差异化应用。
