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.
Subject
Public Health, Environmental and Occupational Health
Cited by
4 articles.
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