Bass J L, Brennan P, Mehta K A, Kodzis S
Dept of Pediatrics, Framingham Union Hospital, MA 01701.
Pediatrics. 1990 Jan;85(1):33-8.
The experience of an affiliation between a hospital-based clinic and a family shelter is presented. The medical implications of family shelter residence include special issues related to the spread of infectious diseases, particularly to the neonate. Preentry medical evaluation revealed that a large proportion of children and their parents had one or more medical problems. Of 67 children screened before entrance, 13% [corrected] had Giardia lamblia detected in the stool. In addition to carriage of enteric pathogens, the range of pediatric problems encountered included a variety of acute and chronic medical conditions, unmet primary care needs, and developmental and school difficulties. Fifty-eight percent of shelter residents were found to be "medically homeless." Formal liaison between a hospital-based clinic and a family shelter was found to be an effective way to promote a healthy environment in the family shelter and to provide needed medical services to shelter families.
本文介绍了一家医院诊所与一个家庭庇护所建立合作关系的经历。居住在家庭庇护所所涉及的医学问题包括与传染病传播相关的特殊问题，尤其是对新生儿而言。入住前的医学评估显示，很大一部分儿童及其父母存在一个或多个医学问题。在67名入住前接受筛查的儿童中，13%[校正后]的粪便中检测出蓝氏贾第鞭毛虫。除了携带肠道病原体外，所遇到的儿科问题还包括各种急慢性病症、未满足的初级保健需求以及发育和学业困难。发现58%的庇护所居民“在医疗方面无家可归”。事实证明，医院诊所与家庭庇护所之间的正式联络是促进家庭庇护所健康环境并为庇护所家庭提供所需医疗服务的有效方式。
