Owen J P
Army Personnel Research Establishment, Ministry of Defence, Farnborough, Hants.
J R Army Med Corps. 1994 Feb;140(1):13-7. doi: 10.1136/jramc-140-01-03.
A General Practitioner (GP) completed, fee earning, medical questionnaire was obtained for 444 potential Army recruits and compared with the examination findings of Army Careers Information Office Medical Officers (ACIO MOs), recorded on the FMed 1. It was found that 34 (8%) of the GPs reported a condition that precluded military service. Fourteen of those candidates denied the medical problem on their FMed 1 and remained undetected. Twenty candidates declared their condition but only 6 were rejected, 6 were referred for a specialist opinion and 8 were passed fit. This represents a 60% detection rate among declared problems and nil among concealed ones. If a GP questionnaire were available for all candidates and the same detection rate achieved, there would be a 1.8% increase in rejections at the pre-employment medical selection. The GP questionnaires would cost approximately L400,000 each year. There should however be a compensating reduction in individual requests for GP reports by the ACIO MOs and inappropriate specialist referrals. A drop of 1.8% in recruit medical discharges would save pounds 5,700,000 annually. This study recommends obtaining a GP medical questionnaire for all candidates applying to join the Army.
为444名潜在的新兵获取了由全科医生（GP）填写并收费的医学调查问卷，并将其与陆军征兵信息办公室医务人员（ACIO MOs）记录在FMed 1上的检查结果进行了比较。结果发现，34名（8%）全科医生报告了某种妨碍服兵役的疾病。其中14名候选人在他们的FMed 1上否认了该医疗问题，因而未被发现。20名候选人申报了自己的病情，但只有6人被拒，6人被转介接受专科医生评估，8人通过体检。这表明在申报的问题中检出率为60%，而在隐瞒的问题中则为零。如果所有候选人都能获得全科医生调查问卷并达到相同的检出率，那么在入职前的体检中，拒选率将提高1.8%。全科医生调查问卷每年的成本约为40万英镑。然而，ACIO MOs对全科医生报告的个人请求以及不适当的专科转介应该会相应减少。新兵医疗遣散率下降1.8%每年将节省570万英镑。本研究建议为所有申请入伍的候选人获取全科医生医学调查问卷。
