Woods J O, Cullen M J, Dorman R H
J R Coll Gen Pract. 1980 Jan;30(210):52-7.
Four hundred and eighty-one (75 per cent) of the male patients between 35 and 55 years of age in a health centre group practice were screened for risk factors for coronary heart disease. An attempt was made to alter these factors and the effectiveness of the intervention was later assessed. We consider that where there is an attached health visitor a screening programme can be carried out as part of general practice without too great an increase in work-load for the general practitioner. The continued surveillance of those at risk and the alteration of the risk factors is more arduous. We think the assistance of the other health care professionals such as the area health education officer and dietician is essential in such a programme.
在一个健康中心的团体医疗实践中，对年龄在35至55岁之间的481名男性患者（占75%）进行了冠心病危险因素筛查。尝试改变这些因素，并随后评估干预措施的有效性。我们认为，在配备了健康访视员的情况下，可以将筛查计划作为全科医疗的一部分来实施，而不会给全科医生带来太大的工作量增加。对高危人群的持续监测以及危险因素的改变则更为艰巨。我们认为，在这样一个计划中，其他医疗保健专业人员如地区健康教育官员和营养师的协助至关重要。
