Lasswell A B
Anne Arundel County Department of Health, Annapolis, Maryland 21401.
Pediatr Ann. 1992 Oct;21(10):676-7, 681-7. doi: 10.3928/0090-4481-19921001-09.
Clinicians are needed to include nutrition in the routine care of infants and children in office practice. Physicians play an important role in assessing nutritional status, diagnosing nutritional problems, providing a rationale for treatment, prescribing, performing brief counseling, referring to other resources if needed, and following up on the progress of their patients. Registered dietitians are the consultants of choice to assist pediatricians in the care of patients with nutrition-related disorders and are skilled in providing pediatric health promotion and disease prevention information. Consultant dietitians in the community can be found through contacting the local department of health or local hospital outpatient department. The American Dietetic Association also maintains a list of consulting dietitians throughout the United States. Funding mechanisms for engaging dietetic services vary from contracting with dietitians in private practice, local health departments, or hospital outpatient clinics, to employing dietitians on-site to provide counseling services in the office. Availability for third party payment for nutrition services varies with insurance carriers, individual policies, and region of the country. Incorporating nutrition into pediatric practice is important. Together, physicians and dietitians can work together to improve children's health.
临床医生需要在门诊实践中将营养纳入婴幼儿和儿童的常规护理中。医生在评估营养状况、诊断营养问题、提供治疗依据、开处方、进行简短咨询、必要时转介至其他资源以及跟踪患者进展方面发挥着重要作用。注册营养师是协助儿科医生护理营养相关疾病患者的首选顾问，并且擅长提供儿科健康促进和疾病预防信息。可通过联系当地卫生部门或当地医院门诊部找到社区中的顾问营养师。美国饮食协会也保存着一份全美顾问营养师的名单。获取饮食服务的资金机制各不相同，从与私人执业营养师、当地卫生部门或医院门诊诊所签约，到在现场雇佣营养师在办公室提供咨询服务。营养服务第三方支付的可用性因保险公司、个人保险政策以及所在地区而异。将营养纳入儿科实践很重要。医生和营养师可以共同努力改善儿童健康。
