Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Expert Rev Neurother. 2011 Apr;11(4):579-88. doi: 10.1586/ern.10.151.
Attention-deficit/hyperactivity disorder (ADHD) is a common neurobehavioral condition that impairs functioning throughout childhood and adolescence. Evidence-based guidelines for the treatment of ADHD recommend recognizing ADHD as a chronic condition. The chronic care model for child health emphasizes the need for productive interactions between an informed, activated family and a prepared, proactive practice team. Key parent-physician interactions in the treatment of a child with ADHD include: family education, treatment goal setting, treatment plan formation, cardiovascular screening, medication titration and ongoing monitoring and treatment plan revision. Most care for children/adolescents with ADHD is provided in community-based primary care settings where there are significant barriers to delivering high-quality care to children with chronic conditions. This article reviews recommended physician-parent interactions, examines current practice patterns and identifies facilitators and barriers to the implementation of recommended practices for ADHD care.
注意缺陷多动障碍（ADHD）是一种常见的神经行为疾病，会影响儿童和青少年的整个功能。ADHD 的治疗循证指南建议将其视为一种慢性疾病。儿童健康的慢性病护理模式强调需要有知识、积极的家庭与有准备、主动的实践团队之间进行富有成效的互动。在治疗患有 ADHD 的儿童时，关键的医患互动包括：家庭教育、治疗目标设定、治疗计划制定、心血管筛查、药物滴定和持续监测以及治疗计划修订。大多数 ADHD 儿童/青少年的护理都是在以社区为基础的初级保健环境中进行的，在这些环境中，为患有慢性疾病的儿童提供高质量护理存在重大障碍。本文回顾了推荐的医患互动，检查了当前的实践模式，并确定了 ADHD 护理推荐实践实施的促进因素和障碍。
