Kligman E W, Narce-Valente S
Department of Family and Community Medicine, University of Arizona Health Sciences Center, Tucson.
J Fam Pract. 1990 Mar;30(3):263-9.
It is important for the family physician to consider a spectrum of screening tests, counseling topics, and childhood immunizations when providing acute and chronic care, in addition to well-child care. The effectiveness of specific clinical preventive services in eliciting positive health outcomes and age-related guidelines to prioritize health promotion activity have recently been reviewed by the US Preventive Services Task Force. Given recent studies identifying environmental tobacco smoke as a risk factor for children by being associated with an increase in the incidence and severity of respiratory tract and ear infections, family physicians should be routinely screening parents, especially during visits that provide teachable moments for counseling and intervention. Family physicians need to be aware of possible responses parents may have to their counseling and provide nonjudgmental information and guidance throughout a child's early years of development.
除了提供儿童健康保健外，家庭医生在提供急性和慢性护理时，考虑一系列筛查测试、咨询主题和儿童免疫接种非常重要。美国预防服务工作组最近回顾了特定临床预防服务在产生积极健康结果方面的有效性以及确定健康促进活动优先级的年龄相关指南。鉴于最近的研究表明，环境烟草烟雾与呼吸道和耳部感染的发病率及严重程度增加有关，是儿童的一个风险因素，家庭医生应常规筛查家长，尤其是在提供咨询和干预的可教时刻的就诊期间。家庭医生需要意识到家长可能对他们的咨询做出的反应，并在孩子的早期发育阶段提供无偏见的信息和指导。
