Tendencies among Examinees with Omissions to Fill Medical Histories in Health Check-up Interview Sheets and Points to Keep in Mind in History Interviews

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  • Miyajima Eriko
    Department of Health Care Center, Sagamino Hospital, Japan Community Health Care Organization Sagamino Hospital Department of Hygiene, Kitasato University School of Medicine
  • Tsunoda Masashi
    Department of Hygiene and Public Health, National Defense Medical College
  • Yoshida Muneki
    Department of Health Care Center, Sagamino Hospital, Japan Community Health Care Organization Sagamino Hospital
  • Igarashi Keiko
    Department of Health Care Center, Sagamino Hospital, Japan Community Health Care Organization Sagamino Hospital
  • Oshida Sayuri
    Department of Health Care Center, Sagamino Hospital, Japan Community Health Care Organization Sagamino Hospital
  • Saegusa Youichi
    Department of Gastroenterology, Sagamino Hospital, Japan Community Health Care Organization Sagamino Hospital
  • Mihara Shizuka
    Department of Gastroenterology, Sagamino Hospital, Japan Community Health Care Organization Sagamino Hospital
  • Yanase Nobuo
    Department of Health Care Center, Sagamino Hospital, Japan Community Health Care Organization Sagamino Hospital
  • Ooida Masahito
    Department of Health Care Center, Sagamino Hospital, Japan Community Health Care Organization Sagamino Hospital

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Other Title
  • 健診問診票の現病歴・既往歴の記入漏れ者の傾向と病歴聴取の留意点
  • ケンシン モンシンヒョウ ノ ゲン ビョウレキ ・ キオウレキ ノ キニュウ モレ シャ ノ ケイコウ ト ビョウレキ チョウシュ ノ リュウイテン

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Objective: The medical history of examinees who undergo health check-ups is important. In our health care center, doctors check the interview sheets used for this. There are many examinees who do not fill in the sheet correctly. Our objective was to find out how to prevent examinees from filling out the interview sheet incorrectly.<br>Methods: The subjects were 794 persons who visited our health care center during a total of 21 days in 2016 and 2017. The number of subjects who did not check the relevant places to indicate that they were under treatment for hypertension, diabetes, dyslipidemia, hyperuricemia, heart disease, cerebrovascular disease or cancer was evaluated. The χ2 test was used to evaluate a relationship between making entries on the form and whether or not it was the subject’s first visit. About 504 subjects who visited after July 2016, we counted who did not fill in their surgical history correctly.<br>Results: Fifty-six subjects (35.0%) of 160 who were being treated for diseases did not fill in their interview sheets correctly. Thirty-eighty people did not check dyslipidemia and 17 people did not check hypertension in spite of taking medication for these diseases. More first visitors filled in the sheet correctly than repeat visitors. One hundred-six subjects omitted to check at least one item of their surgical histories. <br>Conclusions: Some subjects did not fill in their interview sheets correctly. We should prepare sheets that can be filled in by patients easily. Interviews by health care staff are essential because they provide important additional information. The information obtained at the first visit should be available at the next visit.

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