Characteristics of men most likely to respond to an invitation to be screened.
Characteristics of men most likely to respond to an invitation to be screened.
复制标题
最有可能响应筛查邀请的男性特征。
DOI：
10.2105/ajph.69.10.1011
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发表时间：
1979
影响因子：
12.7
通讯作者：
J. Grover
中科院分区：
文献类型：
--
作者：
M. Greenlick;J. Bailey;J. Wild;J. Grover
在俄勒冈州凯泽基金会健康计划的18,872名35-57岁男性成员中，确定了具有已知危险因素的男性的一些特征，这些男性最有可能对在一项预防心脏病的全国随机临床试验中接受筛查的邀请做出反应。人口统计学特征和危险因素变量（血压，血胆固醇和吸烟水平）从医疗记录中提取。根据危险程度，这些人被列为高优先级或低优先级。健康计划中所有符合年龄条件的男性都至少收到一次接受筛查的邀请，高优先级的男性收到更多的邀请。尽管集中力量让他们进来，但只有不到一半的高优先级男子得到了筛查。参与者比非参与者年龄更大，更富有，更有可能有更多的家属，并经常使用医疗服务。在单变量和多变量分析中，一个人是否在前两年内接受过医疗保健服务是一个强有力的判别变量。研究结果表明，服务于稳定人群的卫生保健计划应更多地考虑在常规医疗保健中进行筛查。
Some of the characteristics of men, with known risk factors, who were most likely to respond to an invitation to be screened in a national randomized clinical trial to prevent heart disease were determined in 18,872 men, 35-57 years of age, members of the Kaiser Foundation Health Plan of Oregon. Demographic characteristics and risk factor variables (blood pressure, blood cholesterol, and cigarette smoking levels) were abstracted from medical records. The men were ranked high priority or low priority according to level of risk. All age-eligible men in the health plan received at least one invitation to be screened, with high-priority men receiving more invitations. Despite concentrated efforts to bring them in, less than one-half the high-priority men were screened. Participants were older and wealthier than non-participants, and more likely to have more dependents and to routinely use medical services. Whether or not a man received a medical care service within the preceding two years was a powerful discriminating variable in both the univariate and multivariate analyses reported. The findings suggest that health care programs serving a stable population group should give more consideration to screening in routine medical care.