Schaapveld K, Hirasing R A
TNO Preventie en Gezondheid, Leiden.
Ned Tijdschr Geneeskd. 1997 Oct 4;141(40):1909-12.
On the occasion of the publication of the second revised edition of the Preventiegids (Prevention guide), some recent developments in preventive health care can be analysed and priorities for the near future can be formulated. Some controversies have been resolved (e.g. periconceptional use of folic acid, influenza vaccination of all elderly), a number of others still exist (e.g. postmenopausal oestrogen substitution, screening for hypertension and hypercholesterolaemia). Further health benefit can be obtained by preventive activities, albeit to a limited extent. The focus should be on correct implementation (standardisation) of existing prevention programmes plus evaluation, with improvements where possible. There will also be opportunities for new prevention programmes (e.g. use of the triple test in screening for Down syndrome). It will be possible to discontinue existing inefficient programmes (e.g. routine pregnancy ultrasonography, routine administration of iron to pregnant women.
在《预防指南》第二修订版出版之际，可以分析预防性医疗保健方面的一些最新进展，并制定近期的优先事项。一些争议已经得到解决（例如，孕前使用叶酸、所有老年人接种流感疫苗），其他一些争议仍然存在（例如，绝经后雌激素替代、高血压和高胆固醇血症筛查）。尽管程度有限，但通过预防活动仍可进一步获得健康益处。重点应放在现有预防方案的正确实施（标准化）以及评估上，并尽可能加以改进。新的预防方案也将有机会出现（例如，在唐氏综合征筛查中使用三联检测）。有可能终止现有的低效方案（例如，常规孕期超声检查、给孕妇常规补铁）。
