Periodic Health Examination

  • Julia E. Connelly


Periodic health examination is a common and important part of office practice. Its purpose is the detection of asymptomatic illness and the prevention of disease before irreversible pathological changes occur. There are many questions about the content and efficacy of this type of examination.1 Which conditions are preventable? Which diagnostic tests are useful for screening and case finding? Is this type of prevention cost-effective? Will patients and third parties pay for this type of health care?


American Cancer Society Seat Belt Preventable Condition Case Finding Health Checkup 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Spitzer, W. O., and Brown, B.: Unanswered questions about the periodic health examination. Ann. Intern. Med. 83: 257–263, 1975.PubMedGoogle Scholar
  2. 2.
    Cypress, B. K.: The National Ambulatory Medical Care Survey: 1981 Summary. U S Department of Health and Human Services, National Center for Health Statistics, Hyattsville, MD, 1981.Google Scholar
  3. 3.
    Delbanco, T. L., and Noble, J.: The periodic health examination revisited. Ann. Intern. Med. 83: 271–273, 1975.PubMedGoogle Scholar
  4. 4.
    Delbanco, T. L., and Taylor, W. C.: The periodic health examination 1980. Ann. Intern. Med. 92: 251–252, 1980.PubMedGoogle Scholar
  5. 5.
    Spitzer, W. O.: Chairman: Report of the Task Force on the Periodic Health Examination. Can. Med. Assoc. J. 121: 1193–1254, 1979.Google Scholar
  6. 6.
    Berwick, M. D.: Screening in health fairs. JAMA 254: 1492–1498, 1985.PubMedCrossRefGoogle Scholar
  7. 7.
    Barker, R.: Preventive care in ambulatory practice, in Barker, L. R., Burton, J. R., and Zieve, P. D. (eds.): Principles of Ambulatory Medicine. Williams & Wilkins, Baltimore, 1982, p. 16.Google Scholar
  8. 8.
    Wilson, J. M. G., and Junger, G.: Principles and Practice of Screening for Disease. World Health Organization, Geneva, 1968.Google Scholar
  9. 9.
    Griner, P. F., Mayewski, R. J., Mushlin, A. I., and Greenland, P.: Selection and interpretation of diagnostic tests and procedures. Ann. Intern. Med. 94(4, part 2): 553–600, 1981.Google Scholar
  10. 10.
    Fienleib, M., and Zelen, M.: Some pitfalls in the evaluation of screening programs. Arch. Environ, Health 19: 412–415, 1965.Google Scholar
  11. 11.
    Sackett, D. L.: Screening for the early detection of disease: To what purpose. Bull. NY Acad. Med. 51: 39–52, 1975.Google Scholar
  12. 12.
    Haynes, R. B., Sackett, D. L., Taylor, D. W., et al.: Increased absenteeism from work after detection and labelling of hypertensive patients. N. Engl. J. Med. 299: 741–744, 1978.PubMedCrossRefGoogle Scholar
  13. 13.
    American College of Physicians’ Medical Practice Committee: Periodic health examinations: A guide for designing individualized preventive health care in the asymptomatic patient. Ann. Intern. Med. 95: 729–732, 1981.Google Scholar
  14. 14.
    Fletcher, S. W., and Spitzer, W. O.: Approach of the Canadian Task Force to the periodic health examination. Ann. Intern. Med. 92: 253–254, 1980.PubMedGoogle Scholar
  15. 15.
    Jones, R. (Council of Scientific Affairs): Medical evaluation of healthy persons. JAMA 95: 729–732, 1981.Google Scholar
  16. 16.
    Connelly, J. E., and Mushlin, A. I.: The reasons patients request a “check-up”: Implications for office practice. J. Gen. Med. 1: 163–165, 1986.Google Scholar
  17. 17.
    American Cancer Society survey of physicians’ attitudes and practices in early cancer detection. CA 4: 197–213, 1985.Google Scholar
  18. 18.
    Woo, B., Woo, B., Cook, E. F., et al.: Screening Procedures in the asymptomatic adult. JAMA 254: 1480–1484, 1985.PubMedCrossRefGoogle Scholar
  19. 19.
    Reiser, S. J.: Emergence of the concept of screening for disease. Millbank Mem. Fund Q. 56: 403–425, 1978.CrossRefGoogle Scholar
  20. 20.
    Charap, M. H.: The periodic health examination: Genesis of a myth. Ann. Intern. Med. 95: 733–735, 1981.PubMedGoogle Scholar
  21. 21.
    Physical examination of school children. Boston Med. Surg. J. 152: 587, 1905.Google Scholar
  22. 22.
    Gould, G. M.: A system of personal biologic examinations: The condition of adequate medical and scientific conduit of life. JAMA 35: 134–137, 1900.CrossRefGoogle Scholar
  23. 23.
    Edie, E. B.: Health examinations past and present and their practice in Pennsylvania. Am. J. Public Health 15: 602–606, 1925.CrossRefGoogle Scholar
  24. 24.
    Croft, B. P.: Benefit of physical examinations. Boston Med. Surg. J. 174: 814–815, 1916.Google Scholar
  25. 25.
    Tobey, J. A.: The health examination movement. National Health 5: 610–611, 1923.Google Scholar
  26. 26.
    Emerson, H.: The protection of health through periodic medical examinations. J. Michigan Med. Soc. 21: 399–403, 1922.Google Scholar
  27. 27.
    President’s Commission on the Health Needs of the Nation: Building America’s Health, A Report to the President, Vol. 1. US Government Printing Office, Washington, DC, 1978.Google Scholar
  28. 28.
    Dales, L. G., Friedman, G. D., and Collen, M. F.: Evaluating periodic multiphasic health checkups: A controlled trial. Kaiser Foundation Research Institue and Permanente Medical Group. J. Chronic Dis. 132: 385–404, 1979.CrossRefGoogle Scholar
  29. 29.
    Frame, P. S., and Carlson, S. J.: A critical review of periodic health screening using specific screening criteria. J. Fam. Pract. 75(2): 29–36, 123-129, 189-194, 1975.Google Scholar
  30. 30.
    Breslow, L., and Somers, A. R.: The lifetime health-monitoring program. A practice approach to preventive medicine. N. Engl. J. Med. 206: 601–608, 1977.CrossRefGoogle Scholar
  31. 31.
    American Cancer Society report on the cancer-related health check-up. CA 30: 194–240, 1980.Google Scholar
  32. 32.
    Fletcher, S.: The peridic health examination and internal medicine. Ann. Intern. Med. 101: 866–868, 1984.PubMedGoogle Scholar
  33. 33.
    Health and Policy Committee, American College of Physicians: The use of diagnostic tests for screening and evaluating breast lesions. Ann. Intern. Med. 103: 143–146, 1985.Google Scholar
  34. 34.
    Baker, L. H.: Breast Cancer Detection Demonstration Project: Five-year summary report. CA 32: 194–226, 1982.PubMedGoogle Scholar
  35. 35.
    Shapiro, S.: Evidence on screening for breast cancer from a randomized trial. Cancer 39(suppl): 2772–2782, 1977.PubMedCrossRefGoogle Scholar
  36. 36.
    American Cancer Society statement on mammography, 1982. CA 32: 226–230, 1982.Google Scholar
  37. 37.
    Shapiro, S.: Screening for early detection of cancer and heart disease. Bull, NY Acad. Med. 51: 80–95, 1975.Google Scholar
  38. 38.
    Gnauck, R., Macrae, F. A., and Fleisher, M.: How to perform the fecal occult blood test. CA 34: 134–147, 1984.PubMedGoogle Scholar
  39. 39.
    Crespi, M., Weissman, G., Gilbertsen, V. A., et al.: The role of proctosigmoidoscopy in screening for colorectal neoplasia. CA 34: 158–166, 1984.PubMedGoogle Scholar
  40. 40.
    Tunbridge, W. M. G., Everd, D. C., Hall, R., et al.: The spectrum of thyroid disease in a community: The Whickhams survey. Clin. Endocrinol. 7: 481–493, 1977.CrossRefGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1988

Authors and Affiliations

  • Julia E. Connelly
    • 1
  1. 1.Department of Internal MedicineUniversity of Virginia School of MedicineCharlottesvilleUSA

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