Lauritzen T, Nielsen K D, Leboeuf-Yde C, Lunde I M
Aarhus Universitet, Institut for Almen Medicin og Sundhedeprojekt Ebeltoft.
Ugeskr Laeger. 1997 Jun 16;159(25):3940-6.
A study was carried out to investigate people's interest in participating in health check-up and in discussions about health with their own general practitioner, participants' health status, the proportion who received health advice following health check-up, and the lifestyle goals they set following discussion with their general practitioner. This study reports the baseline data from a five-year randomized, controlled, prospective, population-based study in general practices in Ebeltoft, Denmark. All general practitioners from the four practices in Ebeltoft and a random sample of 2,000 people aged between 30 and 50 years were invited to participate. Participants were randomly divided into three groups-one control group and two intervention groups. One intervention group was given a health check-up which included a range og tests (Table 2 and 3); this group received written feedback from the general practitioner. The other intervention group was also given a health check-up and written feedback, in addition, they were given the opportunity to attend their general practitioner to discuss health-promoting measures. A total of 1370 people participated in the study (69% response rate). Health advice was given to 76% of 905 participants following health check-up. Almost all of the 456 participants (96%) who were offered the opportunity of discussing their health with their general practitioner took up the offer: 64% of the 456 participants reported that they had decided to undertake lifestyle changes. Eleven of those who discussed their health with the doctor were referred to a specialist (2%). There was considerable interest in participating in health promotion. Three out of four of those who had a health check-up were given health advice. Two out of three of those who were offered a health talk with the general practitioner appeared willing to make relevant lifestyle changes. Longterm follow up is needed to determine effects and side effects of health check-up and health talks.
开展了一项研究，以调查人们参与健康检查以及与自己的全科医生讨论健康问题的兴趣、参与者的健康状况、健康检查后接受健康建议的比例，以及他们在与全科医生讨论后设定的生活方式目标。本研究报告了丹麦埃贝尔托夫地区普通诊所进行的一项为期五年的随机、对照、前瞻性、基于人群的研究的基线数据。邀请了埃贝尔托夫地区四家诊所的所有全科医生以及2000名年龄在30至50岁之间的随机抽样人群参与。参与者被随机分为三组——一组对照组和两组干预组。一组干预组接受了包括一系列检查（表2和表3）的健康检查；该组收到了全科医生的书面反馈。另一组干预组同样接受了健康检查和书面反馈，此外，他们还有机会与全科医生讨论促进健康的措施。共有1370人参与了该研究（应答率为69%）。905名参与者在健康检查后，76%的人得到了健康建议。在被提供与全科医生讨论健康问题机会的456名参与者中，几乎所有人（96%）都接受了邀请：456名参与者中有64%表示他们已决定改变生活方式。在与医生讨论健康问题的人中，有11人被转诊至专科医生处（2%）。人们对参与健康促进有相当浓厚的兴趣。接受健康检查的人中，四分之三得到了健康建议。在被提供与全科医生进行健康谈话机会的人中，三分之二似乎愿意做出相关的生活方式改变。需要进行长期随访以确定健康检查和健康谈话的效果及副作用。
