• One of the primary concerns of the National Cholesterol Education Program about mass screening for elevated blood cholesterol has been the readiness of primary care physicians to deal with a large number of referrals. After 11 680 people were screened in a city of 85 000 people, 3069 (26.3%) were referred to their private physicians. Three months later a questionnaire was mailed to 76 local primary care physicians, and a follow-up letter was mailed to those who had not responded after 2 months. The response rate was 76% from a total of seven specialties, primarily internal medicine and family medicine. Seventy-nine percent of the physicians had been aware of the program, 40% diagnosed at least one case of hypercholesterolemia as a result of the program, and 71% approved of community cholesterol screening. Only one physician indicated that he was overwhelmed with referrals. We conclude that most primary-care physicians support community cholesterol screening as a public health measure and will use screening data to initiate diagnosis.
(Arch Intern Med. 1989;149:2479-2481)
Buchta WG, Wissell RA, Bagley RC, Greaves WW. Physician Reaction to a Local Community Cholesterol Screening Program. Arch Intern Med. 1989;149(11):2479–2481. doi:10.1001/archinte.1989.00390110065014
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