Ni Bhrolchain C M
J R Coll Gen Pract. 1989 Feb;39(319):56-8.
Twenty three of the 1548 children registered with a group practice were found to have special educational needs. Only half of these children were known by the health visitor attached to the practice to have such needs. Ten of the 17 children attending school had no reference to their special needs in their case notes. Irregular attendance and poor immunization records indicated a lack of anticipatory care within the practice. Children with a physical handicap, in particular, attended their family doctor much less frequently than normal children or those with a mental disability. Improved care in recent years coincided with the establishment of developmental surveillance within the practice.
在一家联合诊所登记的1548名儿童中，有23名被发现有特殊教育需求。在该诊所工作的健康访视员只知道这些儿童中有一半有此类需求。在17名上学的儿童中，有10名儿童的病历中没有提及他们的特殊需求。出勤不规律和免疫记录不佳表明该诊所缺乏预防性护理。特别是身体有残疾的儿童，看家庭医生的频率远低于正常儿童或有智力残疾的儿童。近年来护理水平的提高与该诊所开展发育监测工作同时出现。
