The enclosed reprint of an article that I wrote on "The Values and Limitations of Periodic Health Examinations" will suggest to you that I fundamentally believe in the value of such clinical work. The enclosed reprint of a rebuttal that I wrote to a letter published in the Annals of Internal Medicine will suggest something of the scientific attitude that I feel appropriate toward periodic examinations. As logical as periodic examinations are, well controlled and valid data measuring their value are still required. This is even more true with respect to multiphasic screening examinations. That these examinations result in the discovery of disease is beyond question. What should be raised as a legitimate question is whether or not the ultimate difference in the health experience of those examined is of a magnitude to justify the cost of what is done in terms of the time, skills, facilities, and dollars. That I am fundamentally optimistic with respect to the fact that eventually good data will be had and will justify periodic health evaluations is suggested by the third reprint enclosed, which is an extract of an author's proof sheet just received of an article that I authored and which will be published shortly. It is my conviction that it would be premature to have now legislation which would offer multiphasic screening programs to the total elderly population on a tax-supported basis. Perhaps the day will come when evidence will be available to justify a proposal of this sort. To date, however, it seems to me that the only appropriate action with respect to such examinations is that which is already being accomplished-namely, the suport of soundly planned scientific studies designed to measure the value of such examinations. Sincerely, N. J. ROBERTS, M.D. INDEX A Abrams, Dr. Herbert K., Chicago Medical School, Chicago, Ill- Adams, Dr. Herbert D., director, Lahey Clinic Foundation__. Age statistics__. Page 309 118 579 31 11 44, 433, 436, 457, 463, 542, 548, 550, 553, 555 -- 162, 223, 225, 227-228 Need for preventive medicine in the field of.... Aging programs.. Aikawa, Dr. Jerry--- 79 29, 79, 84, 144, 402, 414-419, 471 Aiken, Dr. R. B., commissioner, Vermont Department of Health__ Alabama : Cheraskin, Dr. Emanuel_ Myers, Dr. Ira L Predictive medicine. Screening programs. University of Alabama, Birmingham, Ala Alabama Department of Public Health_. 351 484 12, 281 282 408 407 282 407 282 407 Alaska: McGowan, Dr. Thomas R... Screening programs 408 409 Screening program too expensive to carry to remote areas_- Alaska Department of Health and Welfare, Division of Public Health__ Allen, Dr. W. C., assistant medical director, University of Missouri Medical American Academy of Physical Medicine and Rehabilitation.. American Hospital Supply Corp., Scientific Products Division....... American Journal of Cardiology, article on clinical application of elec- 120, 124, 141, 145, 149, 150, 154-155, 174, 204, 274, 276, 347, 401, 492 554 Amos, Dr. James R., State health officer, North Dakota Department 458 Anderson, Dr. Donald G__ Anderson, Dr. John S., executive officer, Montana Board of Health.. 387 448 500 Anderson, Roy R., executive director, Presbyterian Hospital Association Anlyan, Dr. William G., dean, Duke University Medical Center, School 415 311 Arnold, Dr. E. W., director of health, Ohio Department of Health. "An American Dilemma-The Periodic Health Examination," by Dr. 409 410 410 411 168,411 342 411 341 410 459 36-37, 39 "Automated Pulmonary Function Testing". "Concept of a Clinical Decision Support System". "Evaluation of a Mailed Health Questionnaire". "Evaluation of Periodic Breast Cancer Screening with Excerpt from Simillie, Journal of the American Medical Association.. "Principles and Procedures in the Evaluation of Screening for Dis- "The Values and Limitations of Periodic Health Examinations". Artificial heart; success of---- Artificial organs; more research needed... Association for Advancement of Medical Instrumentation__. 399 517 511 560 561 154 510 510 154 506 494-499 613 41 133 493 157, 172, 412 450 36, 79, 85 Association of State and Territorial Chronic Disease Program Direc Atchison, Dr. Mary M., director, New Hampshire Division of Public Atherosclerosis_ Attalla, Antoine, T., M.D_ Automated equipment, obstacles in development of.. Automated testing: Page 532 233 216, 220, 233, 278, 314, 321, 326, 328, 332, 334, 338, 476 Clinitron Electrocardioanalyzer (ECA) – Flow analytical system; revolutionizes clinical chemistry--- 14, 49, 90, 243, 256, 259, 352, 476, 478, 527, 562 Beltone automatic psychoacoustic data processing station_ 504 503 256 502 121-122, 125 124, 150, 400, 561, 562 527 Metabolic monitor.. Parotid analyzer__ 503 503 518 Philco automatic medical monitor. Phonocardioscan (PCS). Robot chemist- Schistz tonometer.. Thermograph_- Volemetron Automated testing, need for--- 475, 502 537 241, 258 499, 553 492 309, 494 Automated tests, development of instruments for---- 492, 493, 506, 509, 516, 532 175, Computers; application of in multiphasic health screening--- 36, 45, 91, 148 Data processing equipment and automated analysis equipment; use (See AutoAnalyzer, Automatic data processing, and com- puters.) B Bakst, Dr. Henry__. 309 Barbaccia, Dr. Joe, associate professor for public health, Tulane 440 Bardos, Phillip G., Association for Advancement of Medical Instrumen- 493 Barnes Engineering Co--- 499 Barnes, R. Bowling, president, Barnes Engineering Co.. Beattie, Walter, Dean, School of Social Work, Syracuse University- 23 282, 285, 501 Beltone Electronics, Inc---- 504 Bennett, Dr. Granville A., dean, University of Illinois Medical Center___ Berryman, Dr. Macon M., commissioner, Virgin Islands Department of 354 432 484 Bews, Dr. Donald C., medical director, Industrial Medical Association, 549, 552 Biggs, Thomas S., Jr., counsel, Senate Special Committee on Aging: Birkins, Charline J., director, Colorado Department of Public Welfare,-. 414 476 Blanchard, Dr. Leland. 332 Blood, Dr. Frank, director, clinical laboratories, Vanderbilt University__ 400 69-803 - 66-40 |