Ní Bhrolchaín C M
Royal Liverpool Children's Trust, Alder Hay Children's Hospital.
Public Health. 1993 Jan;107(1):37-43. doi: 10.1016/s0033-3506(05)80491-3.
A review of recent literature on school entry medicals (SEMs) assessed whether selective medicals were as effective and/or cheaper than routine medicals. Data were compared with prospective data from the author's 'patch' on a one-year cohort of routine SEMs. Routine medicals showed that 40-50% of school entrants had health problems but selective systems detected fewer. Districts with high morbidity were less able to detect problems early but effective child health surveillance was not related to the number of new problems at SEM. Selection did not reduce costs and could increase costs in deprived areas. The SEM is an opportunity for health education which is valued by parents. On present evidence, selection for medicals at school entry cannot be recommended.
一篇关于入学体检（SEMs）的近期文献综述评估了选择性体检是否与常规体检一样有效和/或更便宜。将数据与作者所在地区一组为期一年的常规入学体检的前瞻性数据进行了比较。常规体检显示，40%至50%的入学儿童存在健康问题，但选择性体检系统检测出的问题较少。发病率高的地区早期发现问题的能力较弱，但有效的儿童健康监测与入学体检时新出现问题的数量无关。选择性体检并没有降低成本，在贫困地区反而可能增加成本。入学体检是开展健康教育的一个契机，家长们对此很重视。根据目前的证据，不建议在入学时进行选择性体检。
