Thomas A P, Bax M C, Smyth D P
Dept. of Child Health, Charing Cross and Westminster Medical School, London, U.K.
Z Kinderchir. 1987 Dec;42 Suppl 1:57-9.
It has been recognised for many years that the amount of health care received by physically handicapped young adults rapidly declines after they leave the paediatric services. However, little is known about their specific health needs at that stage of their lives, or how these needs may be best met by the statutory services. The results of this study indicate a considerable degree of unmet need and point to a failure by the Health Service to maintain a continuity of health care for young adults with physical handicaps. A policy is called for to set up multidisciplinary Handicapped Adult Teams, at District level, to provide a clinical service for all physically and multiply handicapped adults.
多年来人们已经认识到,身体有残疾的年轻人在离开儿科服务后,所接受的医疗保健数量会迅速下降。然而,对于他们在人生那个阶段的具体健康需求,或者法定服务如何才能最好地满足这些需求,人们却知之甚少。这项研究的结果表明,有相当大程度的需求未得到满足,也表明医疗服务机构未能为身体有残疾的年轻人维持医疗保健的连续性。需要制定一项政策,在地区层面设立多学科的残疾成人团队,为所有身体残疾和多重残疾的成年人提供临床服务。