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Related Experiment Videos

Screening during routine health assessment

C R Kirkwood, J Froom

    The Journal of Family Practice
    |October 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Physician-performed tests during routine health exams had higher follow-up rates for abnormalities. Improving patient care requires optimizing screening procedures and defining roles for healthcare personnel.

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    Area of Science:

    • Preventive Medicine
    • Health Services Research
    • Clinical Audit

    Background:

    • Routine health examinations involve multiple diagnostic procedures.
    • Physician-performed tests and those delegated to paramedical personnel or external facilities are common.
    • Effective follow-up of detected abnormalities is crucial for patient outcomes.

    Purpose of the Study:

    • To evaluate the follow-up rates of abnormalities detected during routine health examinations.
    • To compare the follow-up rates between physician-performed tests and those conducted by other healthcare providers.
    • To identify strategies for improving the follow-up of abnormal screening results.

    Main Methods:

    • Retrospective chart review of 189 patients undergoing routine health examinations.

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  • Analysis of 15 evaluative procedures, categorizing them by performer (physician vs. others).
  • Calculation of abnormality detection and follow-up rates based on chart audit.

    • Main Results:

    • 22% of 1,497 screening tests yielded abnormal results (330 total).
    • Only 44% (144) of detected abnormalities received documented follow-up.
    • Physician-detected abnormalities had a higher follow-up rate (58.1%) compared to those found by others (40%).

    Conclusions:

    • The current follow-up rate for abnormalities in routine health examinations is suboptimal.
    • Physician-performed tests demonstrate a superior follow-up rate for detected abnormalities.
    • Recommendations include focusing on high-impact screening procedures and clarifying roles for paramedical personnel in follow-up care.