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March 25, 1968

Proposal for Health-Hazard Appraisal in Comprehensive Health Care

Author Affiliations

From the Department of Preventive Medicine and Community Health, George Washington University School of Medicine, Washington, DC. Dr. Sadusk is now at Parke, Davis & Co., Detroit.

JAMA. 1968;203(13):1108-1112. doi:10.1001/jama.1968.03140130020004

A concept is proposed for the use of health-hazard appraisal as a method of outlining a preventive medicine program in comprehensive health care by the physician. The principle is based upon the fact that every individual is faced with certain quantifiable health hazards as a member of a sex-age-race constituted group; and further, that these average risks may be adjusted to the individual if the clinician knows the patient's prognostic characteristics and the mortality experience of cohorts with similar prognostic characteristics. The concept is applicable to the three types of hazards of premature death; those of potential (asymptomatic) importance from a statistical basis, those of early (incipient) disease, and those of fully developed (overt) disease.