What are the relationship between preventive health care and physical examination

The essence of preventive health care and physical examination is the binding relationship between "long-term health goals" and "implementation starting points". Physical examination is the most front-end and most universal link in the preventive health care system, and it is also the lowest-cost entrance for ordinary people to access system health management. The two are never separate things.

A while ago, I helped follow up free physical examinations for the elderly at a street public health service station. I met Aunt Zhang who lives in Building 3 of the community. I always thought that "preventive health care means eating some protein powder and dancing for two hours a day." I even forwarded the annual physical examination card sent by my work to my relatives. This time, the fasting blood sugar was 7.9, and the glycosylated hemoglobin was also 7.9. It was on the high side and not yet diagnosed as diabetes. She took the physical examination report to the public health doctor and decided on a three-month diet adjustment plan. Even the duration of square dancing was changed to 40 minutes a day of moderate intensity. The index in the reexamination last month had dropped by 0.8. She herself said that her previous health care was all in vain, and the physical examination pointed her in the right direction.

Of course, many people now have different views on the relationship between the two. Many people feel that "I have a physical examination every year. Is it gout or gout? Hypertension or high blood pressure. Physical examination has nothing to do with health care." I have met many such people. If a physical examination shows high uric acid, you go to have a beer with your friends, stuff the report in a drawer and pretend that nothing happened. In this case, the physical examination is really just a "snapshot" of the body, and it is not linked to subsequent health care intervention, so naturally no effect can be seen. There are also some people who go to the other extreme and think that as long as they pay attention to their daily routine and eat enough fruits and vegetables, they are healthy enough and there is no need to have a physical examination. Last month, a 32-year-old programmer came for a screening. He rarely stayed up late and kept working out. The result was that he had lung nodules that required follow-up. He was shocked. He said that he didn't have any symptoms of coughing at all, and he never thought that there would be problems.

In fact, these two misunderstandings essentially separate the relationship between the two. To use an inappropriate analogy, you regard preventive care as year-round maintenance of your old house, and the physical examination is the house safety inspection in the spring of each year.

In fact, many health management organizations are now making the binding between the two more detailed. I have a physical examination service provided by a friend's company. Instead of just giving a report after the examination, the background will pull out your physical examination data for three consecutive years for comparison. You have to If your triglycerides are shown to be high for two consecutive years, you will be directly assigned a dedicated nutritionist to follow up on your diet every week and customize a suitable exercise plan for you. In this case, the physical examination is no longer an isolated examination, but the core basis of the entire preventive health plan.

Of course, there are still a lot of things to be straightened out in the connection between the two. For example, in order to push up the unit price, many commercial medical examination institutions will add a lot of unnecessary tumor marker screening and genetic testing items to ordinary people, and spend thousands to find out a bunch of ambiguous results, which in turn causes problems for people. Unnecessary anxiety even makes many people think that physical examination is an IQ tax, which also creates resistance to preventive health care. In fact, this is not a problem with the relationship between the two. It is that the chosen physical examination path is wrong. Only personalized physical examination items that are suitable for one's age, family history, and living habits can truly pave the way for preventive care.

To put it bluntly, there is no need to think of these two words as too professional or complicated. You should have a physical examination that suits you on time every year, get the report and adjust your living habits according to the doctor's advice. This is the most down-to-earth preventive health care, and it is more effective than any unknown health care products you take.