Screening in General Practice

  • Dr J Levenstein
Keywords: Mass screening, physical examination, physicians, family, sick role, health promotion, self care, attitude to health, vaginal smears, absenteeism

Abstract

Screening is the identification in an asymptomatic population of precursors of a disease or manifest disease. To be scientifically justified it must fulfill several criteria. A review of the literature appears to indicate that both multiphasic screening and indiscriminate mono phasic screening do not improve health care. Other than a few well proven interventions, developmental screening and an awareness o/ patients at risk from dislocating life events, there appears to be little benefit in applying ritualistic, costly and sometimes even harmful examinations and, investigations at regular intervals on asymptomatic patients.

Author Biography

Dr J Levenstein
MB ChB (UCT) MFGP(SA) ECFMG
Section
Review Articles