Stein R
Child Health Care. 1983 Fall;12(2):90-2. doi: 10.1207/s15326888chc1202_8.
Pediatric Home Care (PHC) of Albert Einstein College of Medicine was designed as a special ambulatory care unit for children who are seriously or chronically ill and whose needs were not being met successfully through conventional programming. Services include: monitoring the patient's care: delivering direct services in the home, clinic, and hospital; teaching therapeutic programs to the family and patient; coordinating services; patient advocacy; health education; and supportive counseling. Each patient has a core team consisting of a generalist pediatrician, a PNP, and the patient's family. Visits are provided in the patient's home as needed, as well as in the traditional locations of the clinic, the inpatient units, and the PHC office. The program accepts patients with serious medical problems and who face any of a series of other difficulties, including: especially complex management problems that cannot be handled well in the customary outpatient settings; unstable family settings; or extended hospitalizations. Because it is not restricted to any single type of disease, the PHC provides a model that is applicable in a wide range of medical and community settings. Results of a program evaluation show that PHC is an effective intervention that has positive mental health outcomes and improves satisfaction with care.
阿尔伯特·爱因斯坦医学院的儿科家庭护理（PHC）是作为一个特殊的门诊护理单元设计的，服务对象是患有严重疾病或慢性病且通过传统项目无法成功满足其需求的儿童。服务包括：监测患者护理情况；在家庭、诊所和医院提供直接服务；向家庭和患者传授治疗方案；协调各项服务；为患者维权；开展健康教育；提供支持性咨询。每位患者都有一个核心团队，由一名普通儿科医生、一名儿科护士从业者（PNP）和患者家属组成。根据需要在患者家中进行探访，同时也在诊所、住院部和儿科家庭护理办公室等传统场所进行探访。该项目接收患有严重医疗问题且面临一系列其他困难的患者，这些困难包括：在常规门诊环境中无法妥善处理的特别复杂的管理问题；不稳定的家庭环境；或长期住院。由于它不限于任何单一类型的疾病，儿科家庭护理提供了一个适用于广泛医疗和社区环境的模式。一项项目评估结果表明，儿科家庭护理是一种有效的干预措施，具有积极的心理健康效果，并能提高对护理的满意度。
