Manciaux M, Jestin C, Fritz M, Bertrand D
School of Medicine, University of Nancy.
Pediatrics. 1990 Dec;86(6 Pt 2):1037-43.
Medical and social protection of mothers, infants, and children began in France more than a century ago. A number of laws and regulations have improved the system, which is discussed in detail. The discussion includes an overview of health policy, service delivery, and the financing of care. Is the current French system of Maternal and Child Health responsible for the good health of today's children? This question is addressed through selected examples. Finally, failures and short-comings of the system are described, including the persistence of underserved groups, unequal access to care, and other problems. Solutions are feasible, and some are now being implemented.
一个多世纪前，法国就开始了对母亲、婴儿和儿童的医疗及社会保护。一系列法律法规完善了该体系，本文将对此进行详细讨论。讨论内容包括卫生政策、服务提供以及护理资金等方面的概述。当前法国的母婴健康体系是否对当今儿童的良好健康状况负责？本文将通过具体实例探讨这一问题。最后，文章描述了该体系存在的不足和缺点，包括部分群体医疗服务不足的持续存在、护理机会不平等以及其他问题。解决办法是可行的，有些现已在实施。
