Garrison W T, Bailey E N, Garb J, Ecker B, Spencer P, Sigelman D
Department of Psychology, Children's National Medical Center, Washington, DC 20010.
Hosp Community Psychiatry. 1992 May;43(5):489-93. doi: 10.1176/ps.43.5.489.
Interaction patterns between parents and pediatricians were examined during 1,378 well-child visits to four public and private pediatric clinics. During 327 visits, parents listed at least one psychosocial concern related to their child's mental health. At 37 percent of these visits, parents said they did not wish to discuss the concern with the physician. Physicians failed to address concerns during approximately 35 percent of visits at which parents were willing to discuss them. Successful parent-physician interactions were three times more frequent in private practices than in a public clinic; they were more likely when fewer concerns were stated and less likely when behavior problems were the concern. Parents concerned about the parent-infant relationship were four times more likely to be referred to outside mental health services, although these cases were relatively rare. Older children and families receiving Medicaid were also more likely to be referred to such services.
在对四家公立和私立儿科诊所的1378次儿童健康检查中，研究了父母与儿科医生之间的互动模式。在327次检查中，父母列出了至少一项与孩子心理健康相关的社会心理问题。在这些检查中，37%的父母表示他们不想与医生讨论这些问题。在大约35%的父母愿意讨论问题的检查中，医生未能解决这些问题。在私人诊所中，父母与医生的成功互动比在公立诊所中频繁三倍；当提出的问题较少时，成功互动的可能性更大，而当问题是行为问题时，成功互动的可能性较小。担心亲子关系的父母被转介到外部心理健康服务机构的可能性高出四倍，尽管这些情况相对较少。年龄较大的儿童和接受医疗补助的家庭也更有可能被转介到此类服务机构。
