Colver A F
Beaconhill Children's Centre, Cramlington, Northumberland.
BMJ. 1990 May 12;300(6734):1246-8. doi: 10.1136/bmj.300.6734.1246.
To monitor the implementation of a programme of health surveillance for preschool children and measure its effect on child health.
Regular reporting to primary care teams of their own performance, and determining the overall effect of the programme on children in the district.
All practices in Northumberland health district.
All children of preschool age in Northumberland (3600 births each year).
Proportion of eligible children immunised and screened for abnormalities. Age at diagnosis of congenital deafness, cerebral palsy, and special educational needs.
Over 90% of eligible children were covered by the health surveillance scheme. Child health improved over the four years after the scheme was implemented. Uptake of immunisation against measles rose from 68% to 93% of eligible children, and the average age at which congenital deafness was diagnosed fell to 9 months.
Maintaining the effectiveness of a surveillance programme and reporting this back to primary health care teams are processes which themselves improve health.
监测一项针对学龄前儿童的健康监测计划的实施情况，并衡量其对儿童健康的影响。
定期向基层医疗团队报告其自身表现，并确定该计划对该地区儿童的总体影响。
诺森伯兰郡健康区的所有医疗机构。
诺森伯兰郡所有学龄前儿童（每年出生3600名）。
符合条件的儿童进行免疫接种和异常筛查的比例。先天性耳聋、脑瘫和特殊教育需求的诊断年龄。
超过90%符合条件的儿童纳入了健康监测计划。该计划实施后的四年里儿童健康状况有所改善。麻疹免疫接种率从符合条件儿童的68%升至93%，先天性耳聋的平均诊断年龄降至9个月。
维持监测计划的有效性并将结果反馈给基层医疗团队，这些过程本身就能改善健康状况。
