Periodic Health Examination: A Guide for Designing Individualized Preventive Health Care in the Asymptomatic Patient

Diagnosis and Treatment1 December 1981Periodic Health Examination: A Guide for Designing Individualized Preventive Health Care in the Asymptomatic PatientAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-95-6-729 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail AbstractPresent data are not adequate evidence justifying annual complete examination of the asymptomatic patient at low medical risk. The American College of Physicians recommends that each internist develop individualized plans for patient examination. Such plans can be developed from the recommendations made in four published studies and summarized in graphic form.References1. FRAME P and CARLSON S. A critical review of periodic health screening using specific screening criteria. J Fam Pract. 1975;2:29-36, 123-9, 189-94, 283-9. MedlineGoogle Scholar2. BRESLOW L and SOMERS A. The lifetime health-monitoring program: a practical approach to preventive medicine. N Engl J Med. 1977;296:601-8. CrossrefMedlineGoogle Scholar3. SPITZER W chairman. Report of the Task Force on the Periodic Health Examination. Can Med Assoc J. 1979;121:1193-254. MedlineGoogle Scholar4. ACS report on the cancer-related health checkup. CA. 1980;30:194-240. Google Scholar5. FLETCHER S and SPITZER W. Approach of the Canadian Task Force to the periodic health examination. Ann Intern Med. 1980;92:253-4. Editorial note. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure Information*Members of the Medical Practice Committee for the 1980-1981 and 1981-1982 terms are as follows: Lawrence Scherr, M.D., Chairman, 1980-1981; Edwin P. Maynard, III, M.D., Chairman, 1981-1982; Richard Allyn, M.D.; Nicholas E. Davies, M.D.; Adrian L. Edwards, M.D.; John M. Eisenberg, M.D.; Robert V. Elliott, M.D.; Blair D. Erb, M.D.; Herbert C. Flessa, M.D.; Christopher C. Fordham, III, M.D.; John R. Gamble, M.D.; Paul F. Griner, M.D.; Rolf M. Gunnar, M.D.; Virgil Loeb, Jr., M.D.; Hope Lowry, M.D., Chairman, Health Practice Assessment Subcommittee, 1980-1981; Frank G. MacMurray, M.D.; George E. Magnin, M.D.; Samuel P. Martin, M.D.; James R. McPherson, M.D.; James M. Moss, M.D.; Donald E. Olson, M.D., Chairman, Health Practice Assessment Subcommittee, 1981-1982; Beverly C. Payne, M.D.; Seymour Perry, M.D.; Malcolm L. Peterson, M.D.; Albert D. Roberts, Jr., M.D.; Fenton Schaffner, M.D.; Henry E. Simmons, M.D.; Helen Smits, M.D.; Donald M. Switz, M.D.; Robert B. Talley, M.D. Lea Gamble provided ACP staff liaison for this project.▸From the American College of Physicians; Philadelphia, Pennsylvania. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe Outpatient Physical ExaminationDisease Risk Prediction by Mining Personalized Health Trend Patterns: A Case Study on DiabetesPrioritization of Evidence-Based Preventive Health Services During Periodic Health ExaminationsComprehensive Outpatient Health AssessmentA Framework for Personalized Health Trend AnalysisSystematic Review: The Value of the Periodic Health EvaluationL. Ebony Boulware, MD, MPH, Spyridon Marinopoulos, MD, MBA, Karran A. Phillips, MD, MSc, Constance W. Hwang, MD, Kenric Maynor, MD, Dan Merenstein, MD, Renee F. Wilson, MSc, George J. Barnes, BA, Eric B. Bass, MD, MPH, Neil R. Powe, MD, MPH, MBA, and Gail L. Daumit, MD, MHSLaboratory Screening at Preventive Health ExamsEvaluation of Selected Laboratory Components of a Comprehensive Periodic Health Evaluation for Veterans With Spinal Cord Injury and DisordersA Quantitative Methodology for Determining the Need for Exposure-Prompted Medical MonitoringPublic Expectations and Attitudes for Annual Physical Examinations and TestingSylvia K. Oboler, MD, Allan V. Prochazka, MD, MSc, Ralph Gonzales, MD, MPH, Stanley Xu, PhD, and Robert J. Anderson, MDPart I. A look at population-based medical careAssessment of Preventive Health Care: Design ConsiderationsAcceptance and Use of Put Prevention into Practice Materials at an Inner-city HospitalAssessment of Delivery of Preventive Health ServicesMulticenter Study of Case Finding in Elderly Emergency Department PatientsDeveloping a Competency-Based Preventive Medicine Curriculum for Medical SchoolsClinigraphicsCancer Prevention Practices and Continuing Education Needs of Primary Care PhysiciansDeveloping Primary Care Curricula in Preventive Medicine: Some Practical ConsiderationsEfficacy of preadmission testing in ambulatory surgical patientsOptimal care of older womenThe Utilization of Fecal Occult Blood Testing in the Institutionalized ElderlyPhysician performance and patient perceptions during the rectal examinationThe Expert Panel on Preventive Services: Continuing the Work of the U.S. Preventive Services Task ForcePreventive Care Guidelines: 1991Robert S. A. Hayward, MD, Earl P. Steinberg, MD, MPP, Daniel E. Ford, MD, MPH, Michael F. Roizen, MD, Keith W. Roach, MDDevelopment of a Model Quality-of-Care Assessment Program for Adult Preventive Care in Rural Medical PracticesHealth Maintenance Strategies for Women of Different AgesBackground and objectives of the U.S. preventive services task forceCancer Screening and Immunization Quality Assurance Using a Personal ComputerIntegration of Preventive Services Into Primary Care: A Conceptual Framework for ImplementationThe efficiency of depression questionnaires for case finding in primary medical careAdapting the Selective Periodic Health Exam to a College-Aged PopulationHearing acuity tests in older adultsThe Feasibility of Behavioral Risk Reduction in Primary Medical CareCancer Screening in the ElderlyThe acceptance and completion of mammography by older black women.The Periodic Physical Examination in Asymptomatic AdultsSylvia K. Oboler, MD, F. Marc LaForce, MDObstacles to family practitioners' use of screening tests: Determinants of practice?Screening for Hypercholesterolemia in College StudentsReimbursement Trends in Clinical Oncology: Payment and Quality IssuesThe Periodic Health Examination and Adolescent Pregnancy: 1988Gail B. Slap, MDCompliance with fecal occult blood testing: the role of restrictive diets.Screening for Non-Insulin-Dependent Diabetes MellitusCost effectiveness of HemoQuant versus hemoccult for colorectal cancer screeningPatterns of Illness and Medical Practice in the United StatesPeriodic Health ExaminationDisease Prevention and Health MaintenanceTarget Groups for Screening Elderly OutpatientsPrimary Care and Health Promotion: A Model for Preventive MedicineInfluenza Vaccination in Community ElderlyThe Urinalysis: A Critical AppraisalScreening Tests for the Healthy PatientPromoting preventive care: changing reimbursement is not enough.Complete Blood CountsRICHARD N. LIND, M.D.Cholesterol Reduction and Life Expectancy A Model Incorporating Multiple Risk FactorsWILLIAM C. TAYLOR, M.D., THEODORE M. PASS, Ph.D., DONALD S. SHEPARD, Ph.D., ANTHONY L. KOMAROFF, M.D.Diagnostic Decision Biochemical Profiles Applications in Ambulatory Screening and Preadmission Testing of AdultsRANDALL D. CEBUL, M.D., J. ROBERT BECK, M.D.Diagnostic Decision The Complete Blood Count and Leukocyte Differential Count An Approach to Their Rational ApplicationMARTIN F. SHAPIRO, M.D., Ph.D., SHELDON GREENFIELD, M.D.Performance of cancer screening in a university general internal medicine practicePeriodic health examinationInterrelationships of General Internal Medicine and Preventive/Community MedicineThe admission urinalysisPrevention in Primary Care: Variability in Physician Practice Patterns in New York CityScreening the Healthy SubjectThe reasons patients request “checkups”Guidelines for the periodic health examinationThe use of Diagnostic tests for Screening and evaluating Breast LesionsA model for predicting the counseling practices of physiciansThe Use of Diagnostic Tests for Screening and Evaluating Breast LesionsHEALTH AND PUBLIC POLICY COMMITTEEPreventive Medicine in General Internal Medicine Residency TrainingPREVENTIVE HEALTH CARE COMMITTEE, SOCIETY FOR RESEARCH AND EDUCATION IN PRIMARY CARE INTERNAL MEDICINEOccult-Blood Screening for Colorectal Carcinoma: The BenefitsEfficacy of Routine Annual Studies in the Care of Elderly PatientsCommunity medicine in CubaThe Alcoholic PatientThe Periodic Health Examination and Internal Medicine: 1984SUZANNE W. FLETCHER, M.D.Preventive content of adult primary care: do generalists and subspecialists differ?Epidemiology of IllnessThe Annual CheckupDetecting Gastric Malignancy After GastrectomyDIANE L. ELLIOT, M.D., JAMES B. REULER, M.D.Periodic Health ExaminationJULIA E. CONNELLY, M.D., ALVIN I. MUSHLIN, M.D. 1 December 1981Volume 95, Issue 6Page: 729-732KeywordsHealth care ePublished: 1 December 2008 Issue Published: 1 December 1981 Copyright & Permissions© 1981 American College of PhysiciansPDF downloadLoading ...