Mekonnen Robin, Noonan Kathleen, Rubin David
PolicyLab: Center to Bridge Research, Practice and Policy at The Children's Hospital of Philadelphia, 34th and Civic Center Blvd., Philadelphia, PA 19104, USA.
Pediatr Clin North Am. 2009 Apr;56(2):405-15. doi: 10.1016/j.pcl.2009.01.005.
This article reviews the challenges health care systems face as they attempt to improve health care outcomes for children in foster care. It discusses several of the promising health care strategies occurring outside the perimeter of child welfare and identifies some of the key impasses in working alongside efforts in child welfare reform. The authors posit that the greatest impasse in establishing a reasonable quality of health care for these children is placement instability, in which children move frequently among multiple homes and in and out of the child welfare system. The authors propose potential strategies in which efforts to improve placement stability can serve as a vehicle for multidisciplinary reform across the health care system.
本文回顾了医疗保健系统在试图改善寄养儿童的医疗保健结果时所面临的挑战。它讨论了儿童福利范围之外出现的一些有前景的医疗保健策略，并指出了与儿童福利改革努力协同工作时的一些关键障碍。作者认为，为这些儿童建立合理医疗质量的最大障碍是安置不稳定，即儿童频繁在多个家庭之间流动，进出儿童福利系统。作者提出了一些潜在策略，其中改善安置稳定性的努力可以成为整个医疗保健系统多学科改革的一个手段。
