原文链接: http://mobile.nytimes.com/2015/01/09/opinion/skip-your-annual-physical.html?referrer=&_r=2
作者: Ezekiel J. Emanuel is an oncologist and a vice provost at the University of Pennsylvania.
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最后一段:
My New Year’s resolution does not mean I won’t get my annual flu shot or a colonoscopy every 10 years — or eat a balanced diet and get regular exercise. These are proven to reduce morbidity and mortality. Those who preach the gospel of the routine physical have to produce the data to show why these physician visits are beneficial. If they cannot, join me and make a new resolution: My medical routine won’t include an annual exam. That will free up countless hours of doctors’ time for patients who really do have a medical problem, helping to ensure there is no doctor shortage as more Americans get health insurance.
CNN的报道:
http://edition.cnn.com/2015/04/14/health/annual-physical-ritual-costly/index.html
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The Society for General Internal Medicine even put annual physicals on a list of things doctors should avoid for healthy adults. One problem, Mehrotra says, is the cost. Each visit usually costs insurers just $150, but that adds up fast.
"We estimate that it's about $10 billion a year, which is more than how much we spend as a society on breast cancer care," Mehrotra says. "It's all a lot of money."
And then there's the risk that a doctor will run a test and find a problem that's not actually there. It's called a false positive, and it can lead to a cascade of follow-up tests that can be expensive and could even cause real harm. Dr. Michael Rothberg is another primary care physician and a health researcher at the Cleveland Clinic. He generally avoids giving physicals.
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