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澳大利亚家长对儿童和家庭普遍健康服务的使用:一项消费者调查。

Australian parents' use of universal child and family health services: A consumer survey.

机构信息

Centre for Midwifery, Child and Family Health, University of Technology Sydney, Broadway, NSW, Australia.

School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia.

出版信息

Health Soc Care Community. 2019 Mar;27(2):472-482. doi: 10.1111/hsc.12667. Epub 2018 Oct 4.

Abstract

This study aimed to explore Australian parents' use of universally available well-child health services. It used an online survey of 719 parents of children aged from birth to 5 years in all states and territories to examine patterns of service use and consumer preferences. In Australia, several health professional groups provide advice to pregnant women, infants, children, and parents, offering health promotion, developmental screening, parenting support, and referral to specialist health services if required. The survey examined parents' use of different child and family health providers, and their preferences for support with several common parenting issues. The study indicated that families with young children obtain primary healthcare from a range of service providers, often more than one, depending on children's ages and needs. Parents frequently visit general practitioners for immunisation and medical concerns. They attend dedicated child and family health nurses for parenting advice and well-child checks and prefer them as an information source for many health issues. However, a substantial proportion of parents (44.1%) do not currently visit a child and family health nurse, often because they not only do not perceive a need but also sometimes because these services are unknown, inaccessible, or considered unsuitable. They may seek advice from less qualified sources. There is potential for increased collaboration between child and family health providers to ensure effective resource use and consistency of parenting information and advice. Nursing services may need to address accessibility and appropriateness of care.

摘要

本研究旨在探讨澳大利亚父母对普遍可用的儿童健康服务的使用情况。它采用了一项在线调查,调查了来自澳大利亚所有州和地区的 719 名年龄在 0 至 5 岁之间的儿童的父母,以检查服务使用模式和消费者偏好。在澳大利亚,有几个健康专业群体为孕妇、婴儿、儿童和父母提供建议,提供健康促进、发育筛查、育儿支持,如果需要,还提供向专门的健康服务机构转介。该调查考察了父母对不同的儿童和家庭健康提供者的使用情况,以及他们对一些常见育儿问题的支持偏好。研究表明,有年幼子女的家庭会从一系列服务提供者那里获得初级保健服务,这些提供者往往不止一个,具体取决于孩子的年龄和需求。父母经常因免疫接种和医疗问题而就诊全科医生。他们会因育儿建议和儿童健康检查而参加专门的儿童和家庭健康护士的课程,并将其作为许多健康问题的信息来源。然而,相当一部分父母(44.1%)目前没有去看儿童和家庭健康护士,这通常是因为他们不仅没有意识到需要,而且有时是因为这些服务不为人知、难以获得或被认为不合适。他们可能会从资质较低的来源寻求建议。儿童和家庭健康提供者之间有可能进行更多的合作,以确保有效利用资源,并确保育儿信息和建议的一致性。护理服务可能需要解决可及性和护理的适宜性问题。

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