Halfon N, Inkelas M, Hochstein M
UCLA Center for Children, Families, and Communities, School of Public Health, University of California, Los Angeles 90095-1772, USA.
Milbank Q. 2000;78(3):447-97, 341. doi: 10.1111/1468-0009.00180.
The health development organization (HDO) is a new approach to the organization and delivery of children's health and social services. The HDO would combine the best features of vertically integrated HMOs with horizontally integrated, child-focused social services and longitudinally integrated health promotion strategies. Its mandate would be to develop the health of children in a community. The impetus for creating HDOs is a growing body of evidence in chronic disease epidemiology, developmental psychopathology, early intervention research, and life course cohort studies that point to childhood as the period of life during which adult health status is determined and the opportunities for health capital formation are highest. Thus, a new kind of health care organization or framework, like the HDO, is needed to integrate a full range of critical services for promoting children's development.
健康发展组织（HDO）是一种组织和提供儿童健康及社会服务的新方法。HDO将把垂直整合的健康维护组织（HMO）的最佳特性与横向整合的、以儿童为重点的社会服务以及纵向整合的健康促进策略结合起来。其使命是促进社区儿童的健康。创建HDO的动力来自慢性病流行病学、发展性心理病理学、早期干预研究和生命历程队列研究中越来越多的证据，这些证据表明童年是决定成年后健康状况且形成健康资本机会最高的生命阶段。因此，需要一种新型的医疗保健组织或框架，如HDO，来整合一系列促进儿童发展的关键服务。
