THOMAS L. DELBANCO, M.D.; JOHN NOBLE, M.D.
The periodic health examination of the apparently well has become a cornerstone of medical practice. It has been advocated for more than 100 years as the best method for insuring the continued health of a given patient (1).
The periodic health examination differs from screening and diagnostic evaluation. The differences include patient motivation, the purpose of tests, and the nature of the provider-patient relation. Screening is directed at an apparently well population; the objective is to identify unrecognized disease or risk of disease with tests that are not meant to be diagnostic. Screening carries no necessity for a patient-physician contract.
DELBANCO TL, NOBLE J. The Periodic Health Examination Revisited. Ann Intern Med. 1975;83:271–273. doi: 10.7326/0003-4819-83-2-271
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Published: Ann Intern Med. 1975;83(2):271-273.
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