Jongeling Brad, Roberts Gehan
Child Development Service, Child and Adolescent Health Service, Perth, Western Australia, Australia.
Department of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia, Australia.
J Paediatr Child Health. 2018 Oct;54(10):1100-1103. doi: 10.1111/jpc.14174.
In Australia, children with developmental-behavioural presentations experience large variations in both access to specialist health care and in the care they receive from specialists. A recent survey of members of the Neurodevelopmental and Behavioural Paediatric Society of Australasia confirmed that this variation persists even among public services provided by paediatric doctors with a special interest in this field. In this article, we discuss the challenges of establishing a single model of developmental-behavioural paediatric care and set out principles of best practice in the field. An essential part of working towards excellence in care involves defining our outcomes, utilising standardised measures, collecting systematic data, working in partnership with families to address their concerns and goals, participating in reflective practice and demonstrating a willingness to change current practice based on the results.
在澳大利亚，有发育行为问题的儿童在获得专科医疗服务以及从专科医生那里得到的护理方面存在很大差异。最近对澳大拉西亚神经发育与行为儿科学会成员的一项调查证实，即使在该领域有特殊兴趣的儿科医生提供的公共服务中，这种差异仍然存在。在本文中，我们讨论了建立单一发育行为儿科护理模式的挑战，并阐述了该领域最佳实践的原则。努力实现优质护理的一个重要部分包括明确我们的成果、使用标准化措施、收集系统数据、与家庭合作解决他们的担忧和目标、参与反思性实践以及表明愿意根据结果改变当前的做法。
