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medical screening： to be or not to be？

Chinese medical Journal 2010年第14期123卷 1948-1951页

作者： WANG Wei-zhong TANG Jin-ling Department of Administration and Logistics Management Institute of Pathogen Biology Chinese Academy of Medical Sciences Beijing 100730 China Division of Epidemiology School of Public Health and Primary Care The Chinese University of Hong Kong Hong Kong Special Administrative Region China

WHAT IS medical screening？Worldwide chronic diseases have become a major cause of suffering, disability and mortality. When patients are diagnosed as a result of the appearance of symptoms, it is often too late and treatment options are limited. Hoping that early diagnosis and early treatment can retard or stop disease progression, medical screening is proposed as a secondary prevention method in which people without specific medical complaints are invited to undergo interventions to identify and modify risk factors, or to find disease early in its course so that early treatment prevents further severe complications.

关键词： medical screening benefits harms cost

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Patient Experiences of medical screening Performed by the Dental Services:A Qualitative Study

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Open Journal of Stomatology 2013年第9期3卷 497-503页

作者： Goran Friman Ghazaleh Golestani Awara Kalkali Inger Wardh Margareta Hultin Department of Dental Medicine and Academic Centre of Gerodontics Karolinska InstitutetStockholmSweden Department of Health and Environmental Sciences Karlstad UniversityKarlstadSweden The Swedish Dental Service Organizations Stockholm County ABStockholmSweden The Swedish Dental Service Organizations Vastra Gotaland GothenburgSweden Department of Dental Medicine/Division of Periodontology Karolinska InstitutetHuddingeSweden

Objective: To explore how medical screening performed by the dental service was perceived from the patient’s perspective. Material and methods: medical screening for high blood pressure and high plasma glucose was performed on 170 patients at a dental clinic in a small town in central Sweden. Seventeen individual interviews were conducted with a strategic sampling of these patients. The interviews were recorded and transcribed. The transcriptions were coded and categorized in a manifest analysis, followed by a latent, interpretive analysis. Results: The manifest analysis resulted in three categories: Positive attitude to screening and dental professionals which need to have specific knowledge of medical screening;Dental care which provides continuity but is not a neutral environment;and Feedback on the medical screening results and desired cooperation between dental and health care services. The latent analysis pointed out the importance of the patient’s feeling that the procedure is carried out properly and safely, and requests for clear feedback concerning the results of the screening. Conclusions: The interviewees experienced the dental care service as providing continuity. They would like to have regular medical screenings at their regular dental appointments to identify risks of cardiovascular diseases and diabetes. However, they expressed that it was important for the dental care staff to have the necessary medical knowledge. They also wanted good cooperations between the dental and health care services, with clear feedback to the patients about both positive and negative results and, when appropriate, referrals to the health care service.

关键词： Diabetes Hypertension medical screening Patient Satisfaction Risk Assessment

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