Rigby M J
Health Trends. 1981 Nov;13(4):97-9.
The importance of community and preventive child health services is generally recognized, but the questions raised about the delivery of these services are jeopardizing their development. The sequelae to the Court report have clouded the future for clinical medical officers; there are arguments about the relationship between general practitioners and the community services, whose management in turn may be reduced by NHS restructuring; while the debate about computer systems has caused further acrimony. However, an analysis of basic objectives and methods shows no valid ground for conflict, and instead all that is needed is agreement on how to implement the most efficient pattern of prevention for the benefit of all children.
社区和预防性儿童健康服务的重要性已得到普遍认可,但围绕这些服务提供所引发的问题正危及它们的发展。法院报告的后遗症给临床医学官员的未来蒙上了阴影;关于全科医生与社区服务之间的关系存在争议,而国民保健服务体系的重组可能会削弱社区服务的管理;同时,关于计算机系统的争论进一步激化了矛盾。然而,对基本目标和方法的分析表明,不存在冲突的合理依据,相反,所需要的只是就如何实施最有效的预防模式以造福所有儿童达成共识。