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Public Expectations and Attitudes for Annual Physical Examinations and Testing

Sylvia K. Oboler, MD; Allan V. Prochazka, MD, MSc; Ralph Gonzales, MD, MPH; Stanley Xu, PhD; and Robert J. Anderson, MD
[+] Article and Author Information

From Denver Veterans Affairs Medical Center, Denver Kaiser Permanente, and University of Colorado Health Sciences Center, Denver, Colorado.


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.


Ann Intern Med. 2002;136(9):652-659. doi:10.7326/0003-4819-136-9-200205070-00007
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We performed a two-phase study. In phase I, we evaluated public expectations and attitudes of Denver, Colorado, residents about an annual physical examination and preventive health care. In phase II, we assessed public attitudes about an annual physical examination in two other metropolitan areas (Boston, Massachusetts, and San Diego, California) and ascertained the effect of a financial barrier on desire for annual evaluation.

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Figure.
Desire for tests decreases when respondents are informed of typical charges.(PSA)(FOB)

White bars indicate patients without knowledge of test charges; shaded bars indicate patients with knowledge of test charges. Charges were as follows: physical examination—$150, Papanicolaou smear—$150, mammography—$160, prostate-specific antigen test—$50, cholesterol test—$20, urinalysis—$10, blood glucose test—$20, fecal occult blood test—$20, and chest radiography—$125.

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Summary for Patients

Public Expectations for Annual Physical Examination and Testing

The summary below is from the full report titled “Public Expectations and Attitudes for Annual Physical Examinations and Testing.” It is in the 7 May 2002 issue of Annals of Internal Medicine (volume 136, pages 652-659). The authors are SK Oboler, AV Prochazka, R Gonzales, S Xu, and RJ Anderson.

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