Sylvia K. Oboler, MD; Allan V. Prochazka, MD, MSc; Ralph Gonzales, MD, MPH; Stanley Xu, PhD; Robert J. Anderson, MD
Requests for Single Reprints: Sylvia K. Oboler, MD, 11B Ambulatory Care, Denver Veterans Affairs Medical Center, 1055 Clermont Street, Denver, CO 80220.
Current Author Addresses: Drs. Oboler and Prochazka: Denver Veterans Affairs Medical Center, 11B Ambulatory Care, 1055 Clermont Street, Denver, CO 80220.
Drs. Gonzales and Anderson: Division of General Internal Medicine, University of Colorado Health Sciences Center, 4200 East Ninth Avenue, Campus Box B-180, Denver, CO 80262.
Dr. Xu: Biostatistics, Clinical Research Unit, Kaiser Permanente, 10350 East Dakota Avenue, Denver, CO 80231.
Author Contributions: Conception and design: S.K. Oboler, A.V. Prochazka, R.J. Anderson.
Analysis and interpretation of the data: S.K. Oboler, A.V. Prochazka, R. Gonzales, R.J. Anderson.
Drafting of the article: S.K. Oboler, A.V. Prochazka, R. Gonzales, R.J. Anderson. Critical revision of the article for important intellectual content: S.K. Oboler, A.V. Prochazka, R. Gonzales, R.J. Anderson.
Final approval of the article: S.K. Oboler, A.V. Prochazka, R. Gonzales, R.J. Anderson.
Provision of study materials or patients: S.K. Oboler.
Statistical expertise: A.V. Prochazka, R. Gonzales, S. Xu.
Obtaining of funding: R.J. Anderson.
Administrative, technical, or logistic support: R.J. Anderson.
Collection and assembly of data: S.K. Oboler, R.J. Anderson.
Oboler SK, Prochazka AV, Gonzales R, Xu S, Anderson RJ. Public Expectations and Attitudes for Annual Physical Examinations and Testing. Ann Intern Med. 2002;136:652-659. doi: 10.7326/0003-4819-136-9-200205070-00007
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Published: Ann Intern Med. 2002;136(9):652-659.
The model of the comprehensive annual physical examination advocated by the American Medical Association in the 1920s (1) was the standard of care until the 1970s, when principles of evidence were first applied to the components of the periodic health evaluation (2-5). In recent years, several expert panels have examined the content of and appropriate mechanisms for providing preventive services to asymptomatic adults. In 1979, the Canadian Task Force on the Periodic Health Examination first suggested that the few preventive health care interventions that are well supported by data could be done during visits for short-term and long-term care and did not require scheduled annual physical examinations (6). Since then, the American College of Physicians, the American Medical Association, the U.S. Preventive Services Task Force (USPSTF), and the U.S. Public Health Service have all agreed that routine annual checkups for healthy adults should be abandoned in favor of a more selective approach to preventing and detecting health problems (7-12).
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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