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Reorganizing the Database: Prevention Through Risk Identification

Reorganizing the Database: Prevention Through Risk Identification Abstract To the Editor.— Sheagren et al are to be congratulated for their recent article1 describing a problem- and risk-oriented database! Their model shows that a preventive encounter may be as challenging as a diagnostic one, something we have recognized for a long time.Since 1983, the focus in the periodic examinations of our executive health program has shifted from disease orientation ("documentation of demise") to an emphasis on prevention through risk identification. A patient-completed prevention-oriented questionnaire developed for that program now enjoys use as an intake instrument in many of our medical clinics. The development of that questionnaire was a lesson in itself, heightening our awareness of the myriad risks that lurk in patients' environments, medical experiences, life-styles, and family closets. The questionnaire is not perfect, and already needs updating, but is taking us in the right direction.A healthy emphasis (pun intended) on these issues is also found References 1. Sheagren JN, Zweifler AJ, Woolliscroft JO. The present medical database needs reorganization . Arch Intern Med. 1990;150:2014-2015.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Reorganizing the Database: Prevention Through Risk Identification

Archives of Internal Medicine , Volume 151 (7) – Jul 1, 1991

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Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1991.00400070196032
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.— Sheagren et al are to be congratulated for their recent article1 describing a problem- and risk-oriented database! Their model shows that a preventive encounter may be as challenging as a diagnostic one, something we have recognized for a long time.Since 1983, the focus in the periodic examinations of our executive health program has shifted from disease orientation ("documentation of demise") to an emphasis on prevention through risk identification. A patient-completed prevention-oriented questionnaire developed for that program now enjoys use as an intake instrument in many of our medical clinics. The development of that questionnaire was a lesson in itself, heightening our awareness of the myriad risks that lurk in patients' environments, medical experiences, life-styles, and family closets. The questionnaire is not perfect, and already needs updating, but is taking us in the right direction.A healthy emphasis (pun intended) on these issues is also found References 1. Sheagren JN, Zweifler AJ, Woolliscroft JO. The present medical database needs reorganization . Arch Intern Med. 1990;150:2014-2015.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jul 1, 1991

References

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