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7 records – page 1 of 1.

Health screening of four-year-olds in a Swedish county. II. Effectiveness in detecting health problems.

https://arctichealth.org/en/permalink/ahliterature42513
Source
Acta Paediatr Scand. 1975 Nov;64(6):801-6
Publication Type
Article
Date
Nov-1975
Author
C. Sundelin
J C Vuille
Source
Acta Paediatr Scand. 1975 Nov;64(6):801-6
Date
Nov-1975
Language
English
Publication Type
Article
Keywords
Child Health Services
Child, Preschool
Evaluation Studies
Female
Health Surveys
Humans
Male
Mass Screening
Sweden
Abstract
Quantitative results obtained during the first 3 years of operation of a routine health screening program for 4-year-olds are presented. From these figures it is conccluded that the effectiveness in detecting previously unknown health problems needing treatment is high enough to justify the continuation of this systematic health screening by the ordinary child health staff. However, the total prevalence of newly detected anomalies was lower in our population than in similar studies where the screening was performed by a few teams of specially trained professionals. The consequences of this observation are briefly discussed.
PubMed ID
1189906 View in PubMed
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[General health check-ups on 4-year-olds]

https://arctichealth.org/en/permalink/ahliterature43920
Source
Lakartidningen. 1971 Jan 27;68(5):449-55
Publication Type
Article
Date
Jan-27-1971

Health screening of four-year-olds in a Swedish county. I. Organization, methods and participation.

https://arctichealth.org/en/permalink/ahliterature42514
Source
Acta Paediatr Scand. 1975 Nov;64(6):795-800
Publication Type
Article
Date
Nov-1975
Author
C. Sundelin
J C Vuille
Source
Acta Paediatr Scand. 1975 Nov;64(6):795-800
Date
Nov-1975
Language
English
Publication Type
Article
Keywords
Child Health Services
Child, Preschool
Female
Health Surveys
Humans
Male
Mass Screening - methods
Organization and Administration
Sweden
Abstract
Since January 1969, a systematic health screening has been offered to 4-year-olds resident in the county of Uppsala, Sweden, at the ordinary Child Health Centres by the regular staff. This report describes some organizational and methodological aspects and presents participation rates and reasons for non-participation. From the overall experience it is concluded that the program is feasible with respect to systematic examinations and data collection, acceptance by the public and the staff, and with respect to the strain on existing resources. The reasons for and the importance of program changes are discussed, and the main advantages and drawbacks of the decentralized approach are mentioned. Finally, a theoretical framework for a quantitative evaluation of effectiveness is presented.
PubMed ID
1189905 View in PubMed
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[General health check-ups on 4-year-olds: follow-up of somatic deviations and psychological problems]

https://arctichealth.org/en/permalink/ahliterature43919
Source
Lakartidningen. 1971 Jan 27;68(5):456-62
Publication Type
Article
Date
Jan-27-1971

Health screening of four-year-olds in a Swedish county. III. Variation of effectiveness among examining teams.

https://arctichealth.org/en/permalink/ahliterature42342
Source
Acta Paediatr Scand. 1976 Mar;65(2):193-200
Publication Type
Article
Date
Mar-1976
Author
C. Sundelin
J C Vuille
Source
Acta Paediatr Scand. 1976 Mar;65(2):193-200
Date
Mar-1976
Language
English
Publication Type
Article
Keywords
Child Health Services - standards
Child, Preschool
Diagnostic Services
Family Practice
Humans
Psychiatry
Quality of Health Care
Referral and Consultation
School Health Services
Sweden
Abstract
The data gathered in connection with a routine health screening program for 4-year-olds were used in order to test a number of hypotheses concerning factors which might have influenced the effectiveness of the program, as well as concerning the quality of preventive care delivered to the children before the age of 4 years. It was found that preventive care of relatively high quality delivered to children 0-3 years of age had not reduced the prevalence of previously undetected health problems at 4 years of age. Furthermore, the analysis demonstrated substantial differences between physicians in the rates of correct and unnecessary referrals. Only a small part of these differences could be attributed to professional status or specific experience with the program. They consisted essentially in varying thresholds for what was perceived as a health problem needing treatment, and were considered as a matter of personal temperament. True differences of quality did occur but were less prominent. The implications of these findings with regard to the continuation of the program are discussed.
PubMed ID
1258636 View in PubMed
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General health screening of four-year-olds in a Swedish country. V. A strategy for improving the effectiveness and the cost efficiency of the psychological screening program.

https://arctichealth.org/en/permalink/ahliterature41987
Source
Acta Paediatr Scand. 1977 May;66(3):289-95
Publication Type
Article
Date
May-1977
Author
C. Nilsson
C. Sundelin
J C Vuille
Source
Acta Paediatr Scand. 1977 May;66(3):289-95
Date
May-1977
Language
English
Publication Type
Article
Keywords
Child Behavior Disorders - epidemiology
Child Health Services
Child, Preschool
Cost-Benefit Analysis
Developmental Disabilities - epidemiology
Evaluation Studies
Humans
Psychological Tests
Referral and Consultation
Sweden
Abstract
Data presented in a previous paper pointed to the necessity for improving the overall sensitivity of the psychological screening program. The present report indicates possibilities for such an improvement without changing the screening methods. A comparison of the primary data of the true positives, the false positives and all the negatives (non-referred) revealed the necessity of more stringent referral criteria. It is predicted that the systematic application these criteria would result in an increase in the rate of true positives form 2.8 to 4.8% of the screened population. In addition a strategy aiming at a reduction of the costs without deteriorating the effectiveness and based on a differential application of the various elements of the screening program is presented.
PubMed ID
68657 View in PubMed
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General health screening of four-year-olds in a Swedish county. IV. An analysis of the effectiveness of the psychological examination program.

https://arctichealth.org/en/permalink/ahliterature42169
Source
Acta Paediatr Scand. 1976 Nov;65(6):663-8
Publication Type
Article
Date
Nov-1976
Author
C. Nilsson
C. Sundelin
J C Vuille
Source
Acta Paediatr Scand. 1976 Nov;65(6):663-8
Date
Nov-1976
Language
English
Publication Type
Article
Keywords
Child Behavior
Child Health Services - standards
Child, Preschool
Developmental Disabilities - epidemiology
Female
Humans
Male
Mental Disorders - epidemiology
Psychological Tests - standards
Psychomotor Disorders - epidemiology
Sweden
Abstract
Since 1969, 4-year-olds in the County of Uppsala have been offered extensive health screening at the Child Health Centres. In 1969 and 1970 a total of 3810 children underwent the screening procedure. The psychological screening instrument consisted of a questionnaire (to be answered by the parents), an interview of the parents, a psychomotor examination and an observation of the child's behaviour. 156 (4.1%) 4-year-olds were referred to a specialist team for investigation and decision concerning treatment. In the present study the effectiveness of the psychological screening instrument was assessed by its sensitivity, specificity and predictive value. The sensitivity was found to amount to a maximum of 0.73. The specificity was estimated to be 0.98-0.99, and the positive predictive value to 0.67. The authors consider the effectiveness to be sufficiently high to motivate continuation of the screening procedure for detection of psychological problems in pre-school age. Efforts should be made, however, to further improve the effectiveness.
PubMed ID
63218 View in PubMed
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7 records – page 1 of 1.