Lee E C
Br J Gen Pract. 1994 Jun;44(383):268-70.
A screening clinic for Bangladeshi families was established in order to improve the health care provided by one general practice to its Bangladeshi patients.
The clinic was run by a general practitioner, a health visitor and a Bangladeshi health worker. Patients were invited to attend household by household. The composition of each household was recorded using a genogram. Details of family illness, housing and employment were noted. A medical history was taken from each individual. Every adult was screened for diabetes and risk factors for coronary heart disease; cervical cytology was offered to women. The immunization status of all patients was recorded and adults were immunized. Children were referred to the child health clinic for immunizations. The clinic concluded with a health education session focusing on smoking, exercise and diet.
Over a two year period, 58% of the Bangladeshi families registered with the practice attended the clinic, a total of 207 people. Meeting Bangladeshi patients household by household was an effective and apparently efficient way of providing basic screening and health education. It allowed the practice to learn about the structure of its Bangladeshi families, the social problems faced by their community, and the areas in which their health care could be improved.
This clinic provides a model which could be adapted for use with other ethnic or 'hard-to-reach' groups. It may also prove an effective way of screening all families in general practice.
设立一家针对孟加拉家庭的筛查诊所，以改善一家全科诊所为其孟加拉患者提供的医疗服务。
该诊所由一名全科医生、一名健康访视员和一名孟加拉卫生工作者运营。逐户邀请患者前来就诊。使用系谱图记录每户的组成情况。记录家庭疾病、住房和就业的详细信息。为每个人采集病史。对每位成年人进行糖尿病和冠心病风险因素筛查；为女性提供宫颈细胞学检查。记录所有患者的免疫状况并为成年人进行免疫接种。儿童被转诊至儿童健康诊所进行免疫接种。诊所最后进行了一场关于吸烟、运动和饮食的健康教育讲座。
在两年时间里，该诊所登记在册的孟加拉家庭中有58%前来就诊，共计207人。逐户与孟加拉患者会面是提供基本筛查和健康教育的一种有效且显然高效的方式。这使该诊所了解到其孟加拉家庭的结构、他们社区面临的社会问题以及可以改善其医疗服务的领域。
这家诊所提供了一个可适用于其他种族或“难以接触到”群体的模式。它也可能被证明是在全科医疗中对所有家庭进行筛查的一种有效方式。
