全科医疗中的机会性发育监测。
Opportunistic developmental surveillance in general practice.
作者信息
Houston H L, Santos K, Davis R H
机构信息
Department of General Practice, University of Wales College of Medicine.
出版信息
Br J Gen Pract. 1990 Jun;40(335):230-2.
The importance of the developmental surveillance of children is generally accepted. One method which could be used in general practice is opportunistic surveillance, where the doctor makes use of contacts with children in the surgery to assess their development, and offer advice and health education to parents where appropriate. This study describes an audit of opportunistic developmental surveillance in one general practice. It was found that 95% of a cohort of 78 children had been assessed at least once by the time they were one year old. In addition, at two points in the study, after one and two years, it was found that 81% of children aged two years or less in the practice had had a recent assessment. This level of surveillance compares favourably with reported attendance rates in clinics.
儿童发育监测的重要性已得到普遍认可。在一般医疗实践中可采用的一种方法是机会性监测，即医生利用在诊疗室与儿童的接触来评估他们的发育情况，并在适当的时候向家长提供建议和健康教育。本研究描述了对一家普通诊所机会性发育监测的一次审核。结果发现，一组78名儿童中有95%在一岁时至少接受过一次评估。此外，在研究的两个时间点，即一年和两年后，发现该诊所两岁及以下儿童中有81%最近接受过评估。这种监测水平与诊所报告的就诊率相比很有利。
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