A Study of Case-Finding Methods in Elementary Schools: I. Methodology and Initial Results

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Abstract
This describes a projected evaluation of selected case-finding methods in 2 elementary schools. Preliminary findings based on 630 children examined in the 1st grade are discussed. Nine children, 7 of whom had not been given a preschool examination by a family physician (afforded to 90% of the total group) were found to have an adverse condition unknown and not receiving medical attention. This finding reinforces previous studies of school medical examination. The use of systematic absenteeism review and growth chart analysis was not productive in case-finding. Recommendations for school health programs are offered including the strengthening of an orientation and information system for parents at the time of spring preschool registration and the use of an annual health information questionnaire to be completed by the parent.

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