Morgan M, Reynolds A, Morris R, Allsop M, Rona R
Health Visit. 1989 Aug;62(8):244-7.
The role of child health clinics in an inner London district was examined by a survey of attenders at 52 baby clinic sessions run by the health authority and a review of the uptake of screening. Differences between social groups were examined using A Classification of Residential Neighbourhoods (ACORN) which is based on census data and requires only the full postcode to classify people. Clinic attendance was frequent among all social groups when a child was aged under six months but then declined, mainly reflecting changing needs. About one-half of the attenders saw the clinic doctor, often following referral by the health visitor, with 15% consulting about physical health problems. Differences occurred between ACORN groups in their frequency and reasons for clinic attendance after six months of age and rates of referral following developmental screening. This suggests that ACORN may be of value in monitoring service use and identifying groups with particular needs for services.
通过对卫生当局举办的52场婴儿诊所问诊的就诊者进行调查，并回顾筛查的接受情况，研究了伦敦市中心一个区儿童健康诊所的作用。使用基于人口普查数据的《住宅邻里分类》（ACORN）来研究社会群体之间的差异，该分类只需完整的邮政编码就能对人群进行分类。当孩子未满六个月时，所有社会群体的诊所就诊率都很高，但随后有所下降，这主要反映了需求的变化。约一半的就诊者会看诊所医生，通常是在健康访视员转诊之后，其中15%咨询身体健康问题。ACORN各群体在六个月大之后的诊所就诊频率和原因以及发育筛查后的转诊率存在差异。这表明ACORN在监测服务使用情况和识别有特殊服务需求的群体方面可能具有价值。
