Walton S, Bedford H
Centre for Paediatric Epidemiology and Biostatistics, UCL Institute of Child Health, London, UK.
Child Care Health Dev. 2007 Nov;33(6):744-8. doi: 10.1111/j.1365-2214.2007.00735.x.
The Personal Child Health Record (PCHR) is a booklet given to parents in the UK, following the birth of a child, to be used as the main record of their growth, development and uptake of preventative health services. The national standard PCHR has been available since April 2004. The aim of this survey was to explore parental views of the 'new' PCHR, their experiences in receiving it, and its subsequent use, focusing on specific issues of current debate among health professionals.
A parental questionnaire (n = 89) was administered in July 2004, in 10 child health clinics located in two primary care trusts; one in central London and the other in Buckinghamshire.
Nearly all parents (98%) reported that they used the PCHR as a record of their child's health and development and 92% reported that they 'always' took it with them when seeing healthcare staff about their child. Some parents (22%) indicated that they had not been given a satisfactory explanation as to how to use the PCHR, at the time it was issued to them. Parents reported that health visitors were more likely than other health professionals to use the PCHR both to obtain information about their child and to record information. The majority of respondents (78%) were happy for the level of maternal education to be documented in their child's PCHR.
Parents used, appreciated and liked the design of the national standard PCHR. Health visitors and primary care staff used the PCHR more than secondary care staff. The potential benefits of the PCHR will only be maximized if other healthcare professionals respond by using it.
个人儿童健康记录（PCHR）是英国在孩子出生后提供给父母的一本小册子，用作孩子成长、发育及预防性健康服务接受情况的主要记录。自2004年4月起开始推行国家标准的PCHR。本次调查旨在探讨父母对“新”PCHR的看法、接收体验及其后续使用情况，重点关注当前卫生专业人员之间存在争议的具体问题。
2004年7月，在位于两个初级保健信托机构的10家儿童健康诊所开展了一项针对父母的问卷调查（n = 89）；一家位于伦敦市中心，另一家位于白金汉郡。
几乎所有父母（98%）报告称他们将PCHR用作孩子健康和发育的记录，92%的父母表示在带孩子看医护人员时“总是”随身携带。一些父母（22%）表示，在收到PCHR时没有得到关于如何使用它的满意解释。父母们报告称，健康访视员比其他卫生专业人员更有可能使用PCHR来获取孩子的信息并记录信息。大多数受访者（78%）愿意在孩子的PCHR中记录母亲的教育水平。
父母使用、认可并喜欢国家标准PCHR的设计。健康访视员和初级保健人员比二级保健人员更多地使用PCHR。只有其他医疗保健专业人员也响应使用PCHR，其潜在益处才能最大化。
