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

(1)健康体检被告知者(35岁及以上)医疗利用情况：为评价健康体检的效果，通过体检后医疗利用情况分析，在两个社区对490名健康体检被告知者进行了医疗利用情况问卷调查。在考试中被告知健康问题的参与者中，约有50%的人在几个月后回忆不起自己的检查结果，只有19%至39%的人在检查后接受了医疗护理以恢复健康。这些结果表明，健康体检最有可能是有效的，通过增加接受医疗护理的参与者数量来从体检发现的健康问题中恢复过来。其次，通过参与率与医疗费用的关系来分析健康体检的有效性。Wi…随着参加健康体检次数的增加，40岁和70岁人群的医疗费用呈下降趋势。这一结果支持了健康体检的经济效益。因此，我们在更大的研究人群(约6000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。在没有被建议接受常规治疗但被鼓励自我护理的糖尿病患者中，每天摄入大量脂肪、糖或盐的受试者的医疗费用更高。而在高危人群中，建议他们接受常规治疗时，医疗费用低于正常人群。这些结果表明，在糖尿病早期，适当的食物摄入可能会减少医疗费用，但在后期，医生的建议可能会改善患者的饮食习惯。根据《妇幼保健法》(0~5岁)开展健康体检：通过对某社区全人群5年母婴健康体检卡的分析，探讨参与健康体检与婴幼儿医疗费用的关系。在为期3个月的检查中被告知健康问题的受试者，医疗费用高于正常受试者。在五年的随访中发现疾病的频率与较高的医疗费用有关。这一结果表明，在婴儿检查中发现健康问题鼓励父母促进孩子的健康行为。较少

(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