Historical Changes in the Objectives of the Periodic Health Examination

  1. Paul K.J. Han, MD
  1. From the University of Pittsburgh Medical Center and Montefiore University Hospital, Pittsburgh, Pennsylvania. Acknowledgments: The author thanks Robert Arnold, Robert Olby, Jonathon Erlen, Thomas Benedek, and Rosa Lynn Pinkus for encouragement and helpful comments. Requests for Reprints: Paul K.J. Han, MD, Division of General Internal Medicine, University of Pittsburgh Medical Center, Montefiore University Hospital, Suite W933, 200 Lothrop Street, Pittsburgh, PA 15213-2582.

    Abstract

    Important historical changes have occurred both in the content of the periodic health examination and in the legitimacy with which this examination has been viewed.These changes reflect fundamental shifts in the objectives of the examination and in the concerns of its advocates, the most prominent of whom have been physicians; leaders in the life insurance, private corporate, and prepaid health care industries; and medical expert panels. The shifting dominance of concerns has driven the development of the periodic health examination, and continual reassessment of the value and limitations of the examination is warranted.

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    1. Ann Intern Med November 15, 1997 vol. 127 no. 10 910-917
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