Rossignol C
Secteur de l'Enfance-CPAM de Paris.
Bull Acad Natl Med. 1994 Jan;178(1):85-94; discussion 94-6.
Since 1970, the "Caisse Primaire d'Assurance Maladie de Paris" carries out free periodic health examinations of apparently healthy children aged 10 months, 2 years and 4 years. Routine medical check-up last 3.50 hours, and included 800 items recorded on computerized forms. Of the 15,000 children annually screened, 21% were found to be normal, and unsuspected medical diagnosis were made in 11,500 of these children (79%), despite one or more previous evaluations by a physician. Altogether 27,400 abnormalities were detected (mean: 2.2) with a high rate of missed diagnosis (87%). The majour risks of medical problems were, in the four-year age group: 1/ abnormal vision (32%) 2/ abnormal audiological examination (13%), 3/ abnormal behavior and delayed development test performance (22%), 4/ poor nutritional status, 43% being reported as iron-deficient anemic children. These results warrant the use of selected screening tests to determine the type of injuries amenable to future early preventive measures of Public Health.
自1970年以来，“巴黎初级医疗保险基金”为10个月、2岁和4岁的健康儿童开展免费定期健康检查。常规体检持续3.5小时，包括记录在电脑表格上的800项内容。在每年接受筛查的15000名儿童中，21%被判定为正常，其中11500名儿童（79%）被做出了未被怀疑的医学诊断，尽管此前有医生进行过一次或多次评估。总共检测出27400项异常（平均：2.2项），漏诊率很高（87%）。在4岁年龄组中，主要的健康问题风险为：1/视力异常（32%），2/听力检查异常（13%），3/行为异常和发育迟缓测试表现（22%），4/营养状况不佳，43%的儿童被报告为缺铁性贫血。这些结果证明有必要使用选定的筛查测试来确定适合未来公共卫生早期预防措施的损伤类型。
