- 期刊
台灣成人預防保健服務施行於四十歲以下民眾之實證初探
Evidence-based Assessment on Providing Preventive Health Service for Adults Aged Younger Than 40 in Taiwan
摘要
針對健康或無症狀成人之週期性健康檢查之目的，是藉由提早發現可改變之危險因子與可治療疾病之早期徵候，以減少健康或無症狀成人的發病率與死亡率。目前台灣成人預防保健服務起始受檢年齡為四十歲，但根據各種相關統計資料及醫師臨床實務之發現，代謝性疾病如糖尿病、高血壓、高血脂等慢性病的盛行率仍持續增加，且發病年齡有逐年下降之趨勢。因此，成人健檢服務篩檢年齡與項目，也需反應疾病盛行率或年輕族群疾病發生率之變化而加以調整，且可藉由實證文獻之探討，提出可供臨床醫事人員參考之依據。本文以實證為基礎，回顧近期關於成人預防保健所涵蓋之項目，包括代謝症候群及肝腎功能之評估，以供臨床醫事人員對四十歲以下民眾提出預防保健諮詢時之參考。
並列摘要
The goal of periodic health examination is to prevent morbidity and mortality by identifying modifiable risk factors and early signs of treatable diseases in healthy or asymptomatic adults. HPA (Health Promotion Administration) in Taiwan provides free preventive health examination for adults aged 40-years-old and older. However, according to related clinical data, the prevalence of metabolic diseases, notably diabetes and hypertension, continues to rise, and a younger age of onset has been observed. The age of adults qualified for preventive health examination, as well as the items incorporated in the examination, should therefore be duly adjusted in line with the changing prevalence and incidence rates of related diseases; related evidence-based literature should also be reviewed so as to collect evidences for references at formatting clinical guideline for professionals. The review examined comprehensive items covered in adult preventive health services, including metabolic syndrome and hepatic and renal functions, in recent years. Results of this evidence-based review can be expected to provide reference for medical professionals in preventive health screening and general health consultation.