Inkelas Moira, Oberklaid Frank
Fielding School of Public Health, University of California, Los Angeles, 650 S Charles Young Drive, Los Angeles, CA, 90024, USA.
Centre for Community Child Health, Murdoch Children's Research Institute, Royal Children's Hospital, Flemington Road, Parkville, VIC, 3052, Australia.
Isr J Health Policy Res. 2018 Oct 1;7(1):62. doi: 10.1186/s13584-018-0259-3.
The emerging science in early childhood development challenges past paradigms of health care. There is consideration within the profession of paediatrics, and health care more broadly, of how to make systems of care more responsive to the developmental and social needs of young children and their families. Some countries have physician-centric models, either general physicians or paediatricians, while others rely on nurses. There is increasing recognition that the goal of any model should be parent-professional partnership that puts families at the center, elicits and responds to family needs, anticipates and supports families with developmental transitions, and fits within a seamless system of services and supports.
幼儿发展领域新兴的科学对过去的医疗保健范式提出了挑战。儿科学专业乃至更广泛的医疗保健领域都在思考如何使护理体系更能响应幼儿及其家庭的发展和社会需求。一些国家采用以医生为中心的模式,包括普通医生或儿科医生,而其他国家则依赖护士。人们越来越认识到,任何模式的目标都应该是建立家长与专业人员的伙伴关系,将家庭置于中心位置,引发并回应家庭需求,预见并支持家庭度过发展转折期,且融入无缝衔接的服务与支持体系。