Palfrey J S, Mervis R C, Butler J A
N Engl J Med. 1978 Apr 13;298(15):819-24. doi: 10.1056/NEJM197804132981505.
The Education for All Handicapped Children Act of 1975, which went into effect last October, ensures the right of handicapped children to free appropriate public education. State and local education agencies are required to identify, evaluate and provide services for all disabled children. This multibilliondollar program will guarantee special education resources for up to 12 per cent of American children. A role for physicians in the program is implied rather than defined in the law. Their involvement will vary somewhat from state to state, but will at a minimum involve counseling parents whose children are under evaluation. The law assumes a sophistication of diagnostic ability and curriculum design that does not yet exist, and therefore places a special burden upon physicians to deal effectively with patients now, while developing better training programs and assessment tools, and makes essential the enhancement of the communication between doctors and educators.
1975年的《所有残疾儿童教育法》于去年10月生效,该法案确保了残疾儿童接受免费适当公共教育的权利。州和地方教育机构必须为所有残疾儿童进行鉴定、评估并提供服务。这个耗资数十亿美元的项目将为多达12%的美国儿童保障特殊教育资源。该项目中医师的角色在法律中并未明确规定,而是隐含其中。他们的参与程度在各州会有所不同,但至少要为那些孩子正在接受评估的家长提供咨询服务。该法律假定了一种目前尚不存在的诊断能力和课程设计水平,因此给医生带来了特殊负担,要求他们既要在当下有效地应对患者,又要开发更好的培训项目和评估工具,同时加强医生与教育工作者之间的沟通至关重要。