Lindgren A M, Svärdsudd K, Tibblin G
Department of Family Medicine, Uppsala University, University Hospital, Sweden.
Scand J Prim Health Care. 1998 Jun;16(2):101-6. doi: 10.1080/028134398750003250.
To study the need for health screening among elderly people. SETTING, DESIGN AND SUBJECTS: A random sample of 605 people 75 years or older from the general population of Uppsala, Sweden received a postal questionnaire on health issues, and a random subsample of 101 persons were offered a health survey.
Symptoms and signs of disease in questionnaire or at health examination.
Thirty-nine people came to the health examination at the primary health care centre (PHCC), 15 were examined in their homes, and 11 were interviewed by telephone. Seventy-eight findings were made in the PHCC group, out of which 60 were known by the proband and 18 were new. In ten cases some action was taken. Of the 54 people examined, 50 persons had one or several findings. The most prevalent problems were hypertension, urinary incontinence, and hearing problems. However, few of these problems warranted referral to a general practitioner or hospital.
It appears that a health survey of elderly people yielded little new information on the state of health among those surveyed at the time of the data collection. The bearing on the present-day situation is discussed.
研究老年人健康筛查的必要性。
地点、设计与研究对象：从瑞典乌普萨拉的普通人群中随机抽取605名75岁及以上的老人，向其邮寄了一份关于健康问题的问卷，并随机抽取101人作为子样本进行健康调查。
问卷或健康检查中的疾病症状和体征。
39人前往初级卫生保健中心（PHCC）接受健康检查，15人在家中接受检查，11人通过电话接受访谈。在PHCC组中发现了78项结果，其中60项为先证者已知，18项为新发现。在10个案例中采取了一些措施。在接受检查的54人中，50人有一项或多项检查结果。最常见的问题是高血压、尿失禁和听力问题。然而，这些问题中很少需要转诊至全科医生或医院。
在数据收集时，对老年人进行健康调查似乎在被调查者的健康状况方面几乎没有产生新的信息。文中讨论了其对当前情况的影响。
