health maintenance

(One Pager)
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health maintenance
scheduled/
planned vs opportunisticMosby
(USPSTF)
(preventive medication)
4)(chemoprevention)

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vs

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vs
population based screening)
(opportunistic screening)
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Krogsbll(2012)

(PSA)


6

2
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Tadao Okada, MD, MPH @ Primary Care Institute Japan 1 of 4 last updated on 2014/08/30ver 1
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USPSTFrecommendation
ePSS

A,B, DA,B,D

USPSTF (U.S. Preventive Services Task Force)

Grade

A net benet: substantial

B net benet: moderate


net benet: substantial
(moderate)
C net benet: small

D net benet

I statement I statement



net benet

Tadao Okada, MD, MPH @ Primary Care Institute Japan 2 of 4 last updated on 2014/08/30ver 1
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WilsonJungner1968)
1.
2. (accepted
3.
4.
5.
6. (acceptable)
7.
8.
9. (case-nding)

10. (case-nding)

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Frame Carlson1975
1. ADL
2.
3.

4.
5.

6.
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A. lead - time bias


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B. length bias




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C. self selection bias

()

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Tadao Okada, MD, MPH @ Primary Care Institute Japan 3 of 4 last updated on 2014/08/30ver 1





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McWhinney
3.
4.population at risk

Mosby's Medical Dictionary, 8th edition. 2009, Elsevier.

Krogsbll LT1, Jrgensen KJ, Grnhj Larsen C, Gtzsche PC. General health checks in adults for reducing morbidity and mortality from disease. Cochrane
Database Syst Rev. 2012 Oct 17
Recommendations. U.S. Preventive Services Task Force. http://www.uspreventiveservicestaskforce.org/recommendations.htm
. , / (2009-07-15)
Electronic Preventive Services Selector. AHRQ http://epss.ahrq.gov/PDA/index.jsp
http://canscreen.ncc.go.jp/index.html
Wilson JMG, Jungner G. The principles and practice of screening for disease. Public Health Papers no. 34. World Health Organization, 1968, Geneva
Frame P, Carlson S. A Critical Review of Periodic Health Screening Using Specic Screening Criteria. Part 2: Selected Endocrine, Metabolic and Gastrointestinal
Diseases. Journal of Family Practice. 1975;2:123-129.

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Ian R. McWhinney , Thomas Freeman. Textbook of Family Medicine. Oxford University Press, USA (2009)

Q&A. http://canscreen.ncc.go.jp/qanda/iryou.html

Tadao Okada, MD, MPH @ Primary Care Institute Japan 4 of 4 last updated on 2014/08/30ver 1