Pediatrics. 2018 Feb;141(2). doi: 10.1542/peds.2017-3848. Epub 2018 Jan 22.
Ensuring optimal health for children requires a population-based approach and collaboration between pediatrics and public health. The prevention of major threats to children's health (such as behavioral health issues) and the control and management of chronic diseases, obesity, injury, communicable diseases, and other problems cannot be managed solely in the pediatric office. The integration of clinical practice with public health actions is necessary for multiple levels of disease prevention that involve the child, family, and community. Although pediatricians and public health professionals interact frequently to the benefit of children and their families, increased integration of the 2 disciplines is critical to improving child health at the individual and population levels. Effective collaboration is necessary to ensure that population health activities include children and that the child health priorities of the American Academy of Pediatrics (AAP), such as poverty and child health, early brain and child development, obesity, and mental health, can engage federal, state, and local public health initiatives. In this policy statement, we build on the 2013 AAP Policy Statement on community pediatrics by identifying specific opportunities for collaboration between pediatricians and public health professionals that are likely to improve the health of children in communities. In the statement, we provide recommendations for pediatricians, public health professionals, and the AAP and its chapters.
确保儿童的最佳健康需要采取基于人群的方法，并在儿科和公共卫生之间开展合作。预防对儿童健康的主要威胁（如行为健康问题），以及控制和管理慢性病、肥胖、伤害、传染病和其他问题，不能仅在儿科诊所进行管理。为了在涉及儿童、家庭和社区的多个层面进行疾病预防，有必要将临床实践与公共卫生行动相结合。尽管儿科医生和公共卫生专业人员经常互动，以造福儿童及其家庭，但增加这两个学科的融合对于提高个人和人群层面的儿童健康至关重要。有效的合作对于确保公共卫生活动包括儿童，以及确保美国家庭儿科科学院（AAP）的儿童健康优先事项（如贫困和儿童健康、早期大脑和儿童发育、肥胖和心理健康）能够参与联邦、州和地方公共卫生计划，是必要的。在这项政策声明中，我们在 2013 年 AAP 社区儿科学政策声明的基础上，确定了儿科医生和公共卫生专业人员之间可能会改善社区中儿童健康的具体合作机会。在声明中，我们为儿科医生、公共卫生专业人员以及 AAP 及其分会提供了建议。
