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Pol. Merkur. Lek (Pol. Med. J.), 2020, XLIX/290: 114-118 Maximize

Pol. Merkur. Lek (Pol. Med. J.), 2020, XLIX/290: 114-118

Title: Prophylactic medical examination of 15/16 year old from the Warsaw Agglomeration. Evaluation of the implementation of standards in practice 

Authors: Henzler M, Olechnowicz S, Jacewicz J, Papaj B, Nitsch-Osuch A, Bogdan M. 

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Prophylactic medical examination of 15/16 year old from the Warsaw Agglomeration. Evaluation of the implementation of standards in practice

Henzler M, Olechnowicz S, Jacewicz J, Papaj B, Nitsch-Osuch A, Bogdan M.

Medical University of Warsaw, Department of Social Medicine and Public Health

Prophylactic medical examinations – called well-child visit – are among the benefits guaranteed under basic health care. The prophylactic visit should include, among others: physical examination and an interview (with the adolescent and the parent), as well as individual pro-health education.
The aim of the study
was to answer the question whether preventive medical visits of 15/16 year olds from the Warsaw Agglomeration are carried out within the scope defined by the Minister of Health and in accordance with standards.
Materials and methods
. The course of well-child visit was evaluated on the basis of 359 anonymous questionnaires filled in by students from randomly selected 11 schools from the Warsaw Agglomeration.
Results
. In 3.3% of the respondents, the doctor did not carry out any of the physical examinations asked in the questionnaire. The most often doctor auscultated chest organs (94.4% of respondents), the least frequently examined genitals in girls (2.1%). During the visit, the doctors raised less than 4 topics on average. The most frequent subjects of discussion were menstruation (80.0% of girls), chronic diseases in the adolescent’s family (59.1%) and physical activity (51.0%); the rarest ones were depression and suicidal thoughts (3.1%), violence (1.9%) and the influence of the family on the patient’s well-being (1.4%). The compatibility of the gender of the patient and the doctor increased the number of topics discussed.
Conclusions
. The confrontation of the data obtained by us with the content of the Minister of Health’s regulation and the standards in force in Poland provides the basis for a negative assessment of the implementation of medical prophylactic examinations in the adolescents in the Warsaw Agglomeration.

Key words: preventive health care, population surveillance, adolescents, pediatrics, general medicine

Pol Med J, 2021; XLIX (290); 114–118