| Titre : | Selective opportunistic screening for hypercholesterolemia in primary care practice. (1998) |
| Auteurs : | B. HUTCHISON ; S. BIRCH ; C.E. EVANS ; J. FRANK ; L.J. GOLDSMITH ; B.A. MARKHAM ; M. PATERSON ; Centre for Health Economics and Policy Analysis. McMaster University. Hamilton. ON. CAN ; Department of Clinical Epidemiology and Biostatistics. McMaster University. Hamilton. ON. USA ; Department of Family Medicine. McMaster University. Hamilton. ON. USA |
| Type de document : | Article |
| Dans : | Journal of clinical epidemiology (vol. 51, n° 10, 1998) |
| Pagination : | 817-825 |
| Langues: | Anglais |
| Mots-clés : | Dépistage ; Programme santé ; Epidémiologie ; Evaluation ; Homme ; Canada ; Amérique ; Lipide ; Métabolisme [pathologie] ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST Y1CR0xW4. Diffusion soumise à autorisation]. Objectives : To assess the performance of selective opportunistic screening in a primary care group practice. Design : Cross-sectional survey of coronary heart disease risk factors and retrospective chart audit of cholesterol testing. Setting : Capitation-funded primary care group practice in Ontario, Canada. Subjects : 7785 enrolled patients between the ages of 20 and 69 years. Intervention : Protocol-based selective opportunistic screening program for hypercholesterolemia of 45 months duration. Main Outcome Measures : Targeting (proportion of screening tests that were appropriate), coverage (proportion of those meeting screening criteria who had a screening test performed), over-screening (proportion of those not meeting screening criteria who had a screening test performed), and screening ratio (likelihood that a screening test was performed on an individual who met screening criteria rather than one who failed to meet screening criteria). Results : 64.7% of patients tested met the practice criteria for screening. 37.7% of patients who met the practice screening criteria were tested and 24.9% of those not meeting practice screening criteria had a cholesterol test performed. The screening ratio was 1.52. Conclusion : Our findings bring into question the effectiveness of opportunistic approaches to preventive care. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact