A follow-up study of the utilization of medical care by citizens who were notified of health problems in the health examinations

(1)在健康检查中被告知健康问题的受试者（35岁或以上）的医疗服务利用：为了通过分析检查后的医疗服务利用来评估健康检查的有效性，在两个社区对490名在检查中被告知健康问题的受试者进行了关于医疗服务利用的问卷调查。在考试时被告知健康问题的参与者中，约有50%的人在几个月后无法回忆起他们的考试结果，只有19-39%的人在考试后接受了医疗护理以从健康问题中恢复过来。这些结果表明，健康检查的效果最大的可能是通过增加接受医疗护理的人数来恢复健康。接下来，通过参与率和医疗费用的关系来分析健康检查的效果。Wi 关于我们 40岁和70岁年龄段参与健康检查频率的增加，医疗保健费用下降.结果支持健康体检的经济有效性。因此，我们在更大的研究人群（约6，000名受试者）中进行了另一项调查，以研究健康行为（包括生活方式和医疗检查）与医疗费用之间的关系。在不建议接受常规治疗但鼓励自我护理的糖尿病患者中，每日摄入高脂肪、糖或盐的受试者的医疗费用较高。但在建议接受正规治疗的情况下，高风险组的医疗费用低于正常组。这些结果表明，在糖尿病早期，适当的饮食摄入可能会导致医疗费用的减少，但在后期，患者的饮食习惯可能会通过医生的建议得到改善。提示通过医生检查，对疾病的二级预防是有效的。(2)根据《母婴保健法》（0 ~ 5岁）进行健康检查：对某社区全人群5年的母婴健康检查卡进行分析，研究婴儿参加健康检查与医疗费用的关系。在3个月检查时被告知健康问题的受试者中，医疗费用高于正常受试者。在五年的随访中，疾病发现的频率与高医疗费用相关。这一结果表明，在婴儿检查中发现的健康问题鼓励父母促进他们的孩子的健康行为。少

(1) Utilization of medical care by the subjects who were notified of health problems in the health examinations (35 years old or over): To evaluate the effectiveness of health examinations by analyzing by medical care utilization after the examination, a questionnaire concerning utilization of medical care was carried out in two communities for 490 subjects who were notified of health problems in the examination. About 50% of participants who were notified of their health problems at the examination could not recall their examination results after several months, and only 19-39% took medical care to recover from their health problems after the examination. These results suggest that health examinations are most likely effective by increasing the number of participants who receive medical care to recover from health problems diagnosed by the examination.Next, the effectiveness of health examination was analyzed by the relationship between participation rate and medical care expenses. Wi … More th the increase in the frequency of participation of the health examination, medical care expenses decreased in 40 and 70 years of age. The result supports the economic effectiveness of health examination. Thus, we have performed another survey in a larger study population (ca, 6,000 subjects) to study the relationship between healthy behavior (including lifestyles and medical checkups) and medical care expenses. In diabetics who were not advised to receive regular treatment but were encouraged self-care, medical care expenses were higher in the subjects who took high daily intake of fat, sugar or salt. However, in this high risk group medical care expenses were lower than normal group when they were advised to receive regular treatment. These results indicate that in the early stages of diabetes, appropriate food intake might cause reduction of medical care expenses, yet, in the later stages, food habit of the patients was possibly improved by doctors' advice. This suggests the examination was effective on the secondary prevention of diseases though doctors' examination.(2) Health examinations based on the health service for mother and child law (o to 5 years old): In whole population of one community, mother and child examination cards of 5 years were analyzed to study the relationship between participation of health examinations and medical care expenses of infants. In the subjects notified of their health problems at the 3-month examination, medial care expenses were higher than in normal subjects. Frequency of illness findings during five years of follow-up was associated with high medical care expenses. This results indicate that finding health problems in the infant examinations encouraged parents to promote health behavior for their children. Less