Abstract
An analysis of 423 children referred to a specialist as a result of a school medical inspection in Croydon during 1966 is described. 67.2% of the defects discovered during the survey were not known to the family doctor. In 6.6% the family doctor was unwilling for the referral to proceed, while 5.4% of the children do not seem to have kept the specialist appointments offered to them. 74.5% of the specialist referrals led to treatment or further investigation of the defect. These findings suggest that the school health service is not duplicating the work of the family doctor. The future of routine medical examinations is briefly considered, and the use of a shortened medical examination for specific conditions as one of a series of screening tests is proposed. The need for further evaluation studies is stressed.
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