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全科医生对私人健康筛查的看法:文件过多、焦虑与安心。

General practitioners' perceptions of private health screening: too much paper, anxiety, and reassurance.

作者信息

Paynton D, Dunleavey J, Smith H

机构信息

Department of Primary Medical Care, University of Southampton.

出版信息

Br J Gen Pract. 1998 Jun;48(431):1327-8.

Abstract

There is no evidence to support the practice of screening consultations that include general physical examinations and batteries of tests; however, many patients may choose, or be sent by their employers, to have private full health screening (FHS). General practitioners (GPs) are routinely sent the results of these screening examinations and are expected to deal with any subsequent care required. GPs recognize some positive aspects of FHS, but in our survey there was a groundswell of dislike for these examinations because of uncertainty about patient benefit (raised anxiety or false assurance) and a potential to irritate the GP. The implications for workload were minimal but resented. GPs would welcome a precise summary of significant findings and for the screening doctor to take greater responsibility for follow-up.

摘要

没有证据支持包含全身体格检查和一系列测试的筛查会诊做法;然而,许多患者可能会选择进行私人全面健康筛查(FHS),或者由雇主安排进行此类筛查。全科医生(GP)通常会收到这些筛查检查的结果,并被期望处理后续所需的任何护理。全科医生认识到全面健康筛查的一些积极方面,但在我们的调查中,由于对患者受益的不确定性(引发焦虑或虚假保证)以及可能激怒全科医生,对这些检查存在强烈的反感。对工作量的影响很小,但令人不满。全科医生欢迎提供重大发现的精确总结,并且筛查医生应对后续跟进承担更大责任。

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