[Yield of health exam in a rural school population]

The yield of the health status examination and associated factors in schoolchildren was assessed in the Primary Health Care center at Les Borges Blanques (Lérida), by means of the detection of abnormalities unknown by the parents receiving treatment. A self-administered questionnaire before the examination permitted to identify the already known abnormalities. Subsequently, a personal interview evaluated the follow-up. A total of 252 schoolchildren were evaluated, and 327 abnormalities were detected; 111 of these were unknown to the parents (33.94%); less than one half (48) presented for confirmation of the diagnosis. The diagnosis was confirmed in 44, treatment being prescribed in 36. In 33 schoolchildren (13.09%) the examination could have been useful. The observed low yield may be accounted for by the small rate of families that present for confirmation of the diagnosis. The personal communication of the diagnosis to the parents and the follow-up of cases might improve the yield.