Simms M D, Kelly R W
Pediatric Ambulatory Care Unit, St. Mary's Hospital, Waterbury, CT.
Child Welfare. 1991 Jul-Aug;70(4):451-61.
The poor state of health and health care of foster children is well documented. The cure lies in the hands of the agencies that administer the foster care system and pay for medical services, and in those of the physicians who provide that care. This study suggests that much of the problem may be solvable. Adequate numbers of pediatricians in Connecticut seem to be committed to caring for foster children, but major impediments remain, including inadequate reimbursement for both primary and specialty health services. The institution of a medical passport can make needed information available and help to establish and promote standards of care. Pediatricians appear willing to take a leadership role in assisting other agencies in developing programs to improve the care of these children; despite the problems in providing medical care to foster children, most pediatricians view it as part of their responsibility to the community and to all children.
寄养儿童健康状况不佳以及医疗保健不足的情况有充分记录。解决之道掌握在管理寄养系统并支付医疗服务费用的机构手中,也掌握在提供此类护理的医生手中。这项研究表明,大部分问题或许是可以解决的。康涅狄格州有足够数量的儿科医生似乎致力于照顾寄养儿童,但主要障碍依然存在,包括初级和专科医疗服务的报销不足。医疗护照制度可以提供所需信息,并有助于确立和推广护理标准。儿科医生似乎愿意在协助其他机构制定改善这些儿童护理的项目方面发挥领导作用;尽管在为寄养儿童提供医疗护理方面存在问题,但大多数儿科医生将其视为对社区和所有儿童的责任的一部分。