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Prophylactic medical examination of 15/16 year old from the Warsaw Agglomeration. Evaluation of the implementation of standards in practice.

Prophylactic medical examinations - called well-child visit - are among the benefits guaranteed under basic health care. The prophylactic visit should include, among others: physical examination and an interview (with the adolescent and the parent), as well as individual pro-health education.


AIM
The aim of the study was to answer the question whether preventive medical visits of 15/16 year olds from the Warsaw Agglomeration are carried out within the scope defined by the Minister of Health and in accordance with standards.


MATERIALS AND METHODS
The course of well-child visit was evaluated on the basis of 359 anonymous questionnaires filled in by students from randomly selected 11 schools from the Warsaw Agglomeration.


RESULTS
In 3.3% of the respondents, the doctor did not carry out any of the physical examinations asked in the questionnaire. The most often doctor auscultated chest organs (94.4% of respondents), the least frequently examined genitals in girls (2.1%). During the visit, the doctors raised less than 4 topics on average. The most frequent subjects of discussion were menstruation (80.0% of girls), chronic diseases in the adolescent's family (59.1%) and physical activity (51.0%); the rarest ones were depression and suicidal thoughts (3.1%), violence (1.9%) and the influence of the family on the patient's well-being (1.4%). The compatibility of the gender of the patient and the doctor increased the number of topics discussed.


CONCLUSIONS
The confrontation of the data obtained by us with the content of the Minister of Health's regulation and the standards in force in Poland provides the basis for a negative assessment of the implementation of medical prophylactic examinations in the adolescents in the Warsaw Agglomeration.