Abstract
Upon request, in an attempt to improve availability, quality, and cost of health care for California cannery workers, 42,000 multiphasic health screening examinations were performed in a mobile testing unit at the canneries during two summers. Acceptance of the program is attributed to: 1. protection of individuals and physicians against arbitrary decisions; 2. realistic use of the computer as a tool with defined capacity to speed and facilitate answers to questions devised by clinical specialists, at calculated cost; 3. individual follow-up and continuing health education correlated with findings; and 4. potential use of data to refine the multiphasic program, including some new normal ranges for sex, age, and ethnic group. Instead of intervention disrupting health care patterns, integrated use of technologic assets was offered in response to need.
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