Freed G L, Clark S J, Pathman D E, Schectman R
Division of General Pediatrics, University of Michigan, Ann Arbor, USA.
Pediatrics. 1999 Apr;103(4 Pt 2):864-9.
To determine demographic and health care system factors associated with children receiving an adequate number of well-child visits (WCVs).
Information on 4385 children and their families was obtained via birth certificates, parent interviews, chart review of outpatient sites of care, and insurance records.
Only 77% of children received at least five WCVs by age 2. In regression analysis, the factors most strongly associated with children's total number of WCVs were delay in the initiation of prenatal care (odds ratio = 0.6) and receipt of all outpatient care in private physician offices (odds ratio = 4.2 to 5.6). Having an adequate number of WCVs was associated with being up to date for immunizations.
Children of mothers who delay prenatal care are at high risk for not receiving adequate numbers of WCVs. Recognition of this marker can allow for targeted interventions that aim to ensure that children receive appropriate preventive care.
确定与儿童接受足够次数健康儿童体检（WCVs）相关的人口统计学和医疗保健系统因素。
通过出生证明、家长访谈、门诊护理场所病历审查和保险记录获取了4385名儿童及其家庭的信息。
只有77%的儿童在2岁时接受了至少五次健康儿童体检。在回归分析中，与儿童健康儿童体检总数最密切相关的因素是产前护理开始延迟（优势比=0.6）以及在私人医生办公室接受所有门诊护理（优势比=4.2至5.6）。接受足够次数的健康儿童体检与疫苗接种及时相关。
产前护理延迟的母亲所生儿童接受健康儿童体检次数不足的风险很高。认识到这一指标有助于采取有针对性的干预措施，以确保儿童获得适当的预防性护理。
