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Intervention before disease: Asympto...
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Yamashita, Robert Charles.
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Intervention before disease: Asymptomatic biomedical screening.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Intervention before disease: Asymptomatic biomedical screening./
作者:
Yamashita, Robert Charles.
面頁冊數:
335 p.
附註:
Source: Dissertation Abstracts International, Volume: 54-06, Section: A, page: 2328.
Contained By:
Dissertation Abstracts International54-06A.
標題:
Sociology, General. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9330787
Intervention before disease: Asymptomatic biomedical screening.
Yamashita, Robert Charles.
Intervention before disease: Asymptomatic biomedical screening.
- 335 p.
Source: Dissertation Abstracts International, Volume: 54-06, Section: A, page: 2328.
Thesis (Ph.D.)--University of California, Berkeley, 1992.
The dissertation examines the development of the bio-medical concept of screening from 1900 through 1975. The need for screening exists when a potentially serious condition, in a latent or presymptomatic stage, is prevalent among a population and the mass detection requires a high expenditure of resources. If another mechanism can identify those who probably have the condition without extensive or costly examination, it should be used as a preliminary test to ascertain the need for further examination. This preliminary test constitutes the screen. While the representation of screening tests appears simple, its application is different.Subjects--Topical Terms:
1017541
Sociology, General.
Intervention before disease: Asymptomatic biomedical screening.
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The dissertation examines the development of the bio-medical concept of screening from 1900 through 1975. The need for screening exists when a potentially serious condition, in a latent or presymptomatic stage, is prevalent among a population and the mass detection requires a high expenditure of resources. If another mechanism can identify those who probably have the condition without extensive or costly examination, it should be used as a preliminary test to ascertain the need for further examination. This preliminary test constitutes the screen. While the representation of screening tests appears simple, its application is different.
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The development of screening reflects the epistemological development of the idea of preventative health. In the early-1900s, the idea that disease can be prevented through active health policy was introduced. Programs targeted infectious diseases, and used strategies of early detection and quarantine to restrict access to the general population. In the early 1950s, the prevention concept is expanded by the articulation of a broad vision of public health that makes screening an essential feature of preventing long-term disability. By 1968, the World Health Organization provides principles for conducting such programs. In the 1970s, preventative health is routinized in the notion that inborn errors, malformation, and genetic defect can be "managed" before they become manifest. Screening is used as standard, regulatory practice designed to detect disorders that occur before birth.
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While distinction between programs rests in differences between targeted disease categories, the shifts in institutional arrangements yielded the different screening requirements. In combating communicable disease, public health concern made economic issues are paramount. With chronic disease, private health interest made the practical delivery of services important. Finally, with congenital defects, the "ethical" applications of health care resources are at issue. Throughout, the basic screening principle to restrict, manage, or eliminate those with disease remains significant. While various "principles" have tried to avoid the charge of "eugenics," by invoking an "ethical principle," only a total vision of health care that provides treatment and support for everyone with ill-health can avoid this charge.
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