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[在母婴福利服务机构的婴儿诊所进行的会诊:法国某省的一项调查]

[Consultation in a baby clinic of the PMI (mother and infant welfare service): a survey in a French department].

作者信息

Fanello Serge, Hassani Anne, Meunier Brice, Dagorne Carole, Parot Elsa

机构信息

Département Universitaire de Santé Publique, CHU Angers, 49933 Angers 9.

出版信息

Sante Publique. 2007 Jan-Feb;19(1):9-18; discussion 18. doi: 10.3917/spub.071.0009.

Abstract

A dual survey carried out amongst the users and the professionals of PMI showed that proximity, the range of advice available, the exchanges on parenthood, and the assessment of the child's physical and mental progress and of his/her development are the key elements that parents are looking for. It is also noted that the majority of these parents deliberately consult these services. The objectives when consulting vary, going from a model based on the body and physical abilities, found especially in lower and disadvantaged groups, to one emphasising the child's psychological aspect and potential, which is the prerogative of the middle and higher classes. Indeed, although the PMI is particularly aimed at families in difficulties, all the social classes are now represented among the users. The primary role of prevention of PMI means that few parents go there specifically for the treatment of a medical disease. The majority of families maintain a parallel follow-up with another medical professional, usually a general practitioner with whom the PMI has very little contact. Given the decrease in the current medical demography and the governmental directives aimed at improving care in the prenatal period, the prospect of a closer working relationship between these two parties involved in infant welfare would seem to be a way of the future.

摘要

对母婴保健机构的用户和专业人员进行的一项双重调查显示,亲近感、可用的建议范围、关于为人父母的交流,以及对孩子身心发展和成长的评估,是父母所寻求的关键要素。还应指出的是,这些父母中的大多数会特意咨询这些服务。咨询时的目标各不相同,从基于身体和体能的模式(尤其在较低社会阶层和弱势群体中常见),到强调孩子心理层面和潜力的模式(这是中高阶层的特权)。事实上,尽管母婴保健机构特别针对困难家庭,但现在其用户涵盖了所有社会阶层。母婴保健机构的主要预防作用意味着很少有父母专门去那里治疗疾病。大多数家庭会与另一位医疗专业人员(通常是全科医生)同时进行跟踪随访,而母婴保健机构与全科医生的联系很少。鉴于当前医疗人口数量的减少以及政府旨在改善孕期护理的指令,这两个参与婴儿福利事务的机构建立更紧密工作关系的前景似乎是未来的发展方向。

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