What are the aspects of the relationship between preventive health care and physical examination

To put it simply, the two are a complete closed loop from "discovering health risks" to "resolving health risks". Physical examination is the core front-end entrance to preventive health care, and preventive health care is the ultimate extension of the value of physical examination. The two have never been separated.

I have been doing health management in a community health center for almost 6 years, and I have seen too many people separate the two. They either think that they usually drink wolfberry berries and dance square dances for prevention, and there is no need to waste money on physical examinations; The Aunt Zhang I met last year is a typical positive example. Her fasting blood sugar was 6.3, and she had just stepped on the borderline of abnormal glucose tolerance. A few years ago, we might have left her a "regular review" note. In the past two years, our center has tied physical examinations and follow-up preventive health care services together. At that time, we talked with her about her daily diet for more than half an hour, knowing that she drank white porridge and homemade pickles every day. I just went downstairs to buy some groceries for exercise, and directly gave her a personalized adjustment plan. She didn't need to take medicine. She just replaced the white porridge with oatmeal and brown rice mixed with multigrain rice. She walked with the brisk walking team in the community for 40 minutes every day after dinner. She was given a 1g salt spoon, and she could take 2 spoons per meal. After 3 months, she checked again and her blood sugar dropped directly to 5.4. She had a physical examination this year, and even the previously high triglycerides were back to the normal range.

Nowadays, there are many different opinions, especially the theory that "physical examinations are useless" has been popular in recent years. Many people say that their friends have normal physical examinations every year, but the cancer is found to be in the late stage. They feel that physical examinations are a scam, and they should pay more attention to their health. This statement actually deifies the role of physical examination. A physical examination is equivalent to taking an instant snapshot of your health, which can only reflect your physical condition on the days when you have the examination. Moreover, different physical examination packages cover different screening scopes. If you only do the basic package without corresponding special screening, it will be difficult to detect early special diseases. On the other hand, there is also a school of thought that "the more expensive the physical examination, the better. If nothing is wrong after the examination, everything will be fine." This is also extreme. I met a 27-year-old programmer two months ago. He does high-end physical examinations worth nearly 10,000 yuan every year. Last year, he found that uric acid was 570, and the report clearly stated that it should be lower. He ate a purine diet and stayed up less late. He thought he didn't have any symptoms, so he didn't take it seriously. He still ate seafood and ice beer late at night. In the spring of this year, he had a gout attack. His feet were so swollen that he couldn't even put on shoes. His uric acid level soared to more than 700. If he came to us for intervention at this time, he would suffer a lot.

In fact, to give a very common analogy, the relationship between the two is like when you drive and do regular maintenance. A physical examination is to raise the car to check the whole car to see if there are bulges in the tires, whether the oil needs to be changed, and whether the brakes are working properly.

In the past two years, we have also been slowly adjusting our service model. We will not be done with the report as before. Now each report will be followed by targeted prevention suggestions. If you need to adjust your lifestyle, you will be directly contacted by the health manager for follow-up. If you need further investigation, you will be directly contacted by the higher-level hospital. In essence, it is to open up the chain of physical examination and preventive health care, so that everyone does not have to go to the check-up in vain.