Bhrolchain C, Shribman S J
Child Development Centre, Northampton General Hospital.
Public Health. 1995 Mar;109(2):117-21. doi: 10.1016/s0033-3506(05)80005-8.
There is an ongoing debate about the relative value of selective vs routine entrant medicals. This paper describes a districtwide study of entrant medicals using the tracer method to assess the prevalence and detection rates of problems at school entry. Overall 57% of school entrants were selected for a medical but there was a significant difference in selection rates in urban and rural schools. This selection rate is higher than that reported by other authors. There was a trend for tracer conditions to be more prevalent in urban areas although this was not statistically significant. Prevalence rates suggest that the method of selection successfully detected children with problems. The tracer methodology provided useful information for service planning without the collection of large amounts of data and has not, to our knowledge, been used before in community child health. We recommended this methodology to other districts as a simple and effective method of assessing selective entrant medicals.
关于选择性入学体检与常规入学体检的相对价值，目前存在着持续的争论。本文描述了一项在全区范围内开展的入学体检研究，该研究采用追踪法来评估入学时问题的患病率和检出率。总体而言，57%的入学儿童被选中进行体检，但城乡学校的选择率存在显著差异。这一选择率高于其他作者报告的比例。追踪疾病在城市地区有更为普遍的趋势，尽管这在统计学上并不显著。患病率表明，选择方法成功地检测出了有问题的儿童。追踪方法在无需收集大量数据的情况下为服务规划提供了有用信息，据我们所知，此前在社区儿童健康领域尚未使用过该方法。我们向其他地区推荐这种方法，认为它是评估选择性入学体检的一种简单有效的方法。
