[日常实践中的检查:神话与现实]
Mohamed Ahmed Sugulle1, Line Mahfouz1, Omar Kherad1
1Service de médecine interne, Hôpital de La Tour, 1217 Meyrin/Genève.
Revue medicale suisse
|September 6, 2023
概括
对于健康个体来说,常规的一般健康检查不会改善结果,因此不再推. 专注于基于风险的查和个性化的生活方式监测,以获得有效的预防性护理.
科学领域:
- 一般的内科医学一般内科医学.
- 预防性医疗保健 预防性医疗保健
背景情况:
- 无症状患者的一般健康检查一直是常见的做法.
- 常规检查在改善显著健康结果方面的有效性是可疑的.
研究的目的:
- 重新评估对无症状个体定期进行一般健康检查的建议.
- 提出一个替代的模型,用于预防性护理在初级医学.
主要方法:
- 对一般健康检查影响现有证据的分析.
- 开发一种基于风险适当查和个性化后续对预防医学的新方法.
主要成果:
- 无症状患者定期的一般健康检查似乎不会影响重要的结果.
- 瑞士通用内科医学协会不再建议作为其"智能医疗"运动的一部分进行例行检查.
结论:
- 预防性护理应该从例行检查转向个性化的方法.
- 这包括风险适当的查,生活方式评估,心理社会福祉监测以及定期审查药物和疫苗接种.
- 重点放在一个信任的医生-病人关系和基于证据的干预措施.
相关概念视频
Tooth Anatomy
541
The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
541
Errors occurring during blood pressure monitoring
764
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
764
Methods of Documentation II: POMR
987
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
987
Assessment of the Mouth
247
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
247
Purpose of Health Records I
1.2K
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
1.2K
Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K


