Screening—an Efficient Tool in Outpatient Endocrine Care Studies of the Diagnostic Process

Author:

Allander Erik1,Rosenqvist Urban1

Affiliation:

1. From the Departments of Social Medicine, Karolinska Institutet and Endocrinology and Metabolism, Karolinska Sjukhuset, Stockholm, Sweden

Abstract

A screening procedure based on physical examination alone was used in the outpatient unit of a department of endocrinology and metabolism. The effectiveness, efficiency, and volume of this diagnostic process were evaluated by a study of the case records and a mail questionnaire. In 1968, 296 subjects were examined by this screening procedure; 103 of these could immediately be referred back. The percentage of confident endocrine diagnoses increased from 31 to 39%. The corresponding figure for the group of subjects immediately referred back was 100%. A considerable change in the diagnoses was also recorded. The use of the screening procedure saved approximately $30000. It is concluded that diagnostic screening by an experienced endocrinologist is inexpensive, efficient and safe. The use of the screening procedure made it possible to offer highly specialized medical treatment to more people.

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health

Cited by 4 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Emergency Room Triage by a Medical Specialist;Scandinavian Journal of Social Medicine;1986-03

2. Quality of care in an outpatient department: The patient's view;Social Science & Medicine. Medical Psychology and Medical Sociology;1979-05

3. Quality of care in an outpatient department: The patient's view;Social Science & Medicine. Part A: Medical Psychology & Medical Sociology;1979-01

4. The Diagnostic Process in Outpatient Endocrine Care with Special Reference to Screening. Further Study of Diagnostic Patterns, Their Changes, Total and Diagnosis-specific Resource Consumption;Scandinavian Journal of Social Medicine;1975-09

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