Abstract
Major historical changes taken place in the regular medical examination and the legitimacy with which changes of this review was viewed.These in fundamental changes to the audit objectives and concerns of the defenders, the most important of these are reflected physicians, leaders in life insurance, private companies, and pre-health industry and medical expert committees. The change of dominance concerns prompted the development of periodic medical examinations, and continuous reassessment of the value and limitations of the research is justified."I would like, then, as the only means by which to reach the poor and preserve the good that should be initiated as a custom, a system of periodic review to be submitted by all stakeholders proposed ".
"We recommend that the annual review, as almost a ritual for several decades in North America, practiced to be abandoned. We believe that routine annual review is not specific, and launch a search network too broad, especially in adults, is inefficient and time to time, is potentially harmful. "
The periodic health examination of the medical evaluation of supposedly healthy adults, conducted at regular intervals by physicians changed over time. Since its inception been a visionary physician, major changes in the legitimacy with which regular monitoring of both doctors and patients and the ideal content of the study were considered occurred. It has been a failure to observe accepted widely accepted to be prudent, and has developed an extensive fact-finding exercise on the detection of defects and the accumulation of the available techniques of history from the target in a physical examination and laboratory technique an economic gathering of evidence for the early detection of diseases.
What is the reason for this historical layers? The conventional view is that it is a positive evolutionary step in understanding replacement for the naive enthusiasm, play with scientific skepticism. Many contemporary analysis of the first movement implicitly offer regular medical examination that point of view, criticism of the movement founded on insufficient evidence for the effectiveness of periodic review in the prevention of disease and death .
I present evidence of an alternative, the changes were in the acceptance and regular medical examination, and substantial changes in the objectives that was required in the investigation. These changes, which in turn reflects the concern of the strongest proponents of the test at different points in history. By analyzing the writings of key figures in the regular medical examination, exercise, defining the objectives and concerns and show how they influenced the perceived legitimacy and regular testing. I argue that assessments are based on the determination of the periodic review by the special interests, the contemporary evolution can not fully considered, such as evolutionary progress and the forms and objectives of the study that requires continual reevaluation. My analysis is based primarily on the evolution of North America, as discussed, the regular medical examination and then implemented more aggressively limited.
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http://www.annals.org/content/127/10/910.full