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[父母对婴幼儿期门诊预防和治疗性医疗护理的经历与态度]

[Experiences and attitudes of parents to ambulatory preventive and curative medical care in infancy and early childhood].

作者信息

Carrel R, Joss E, Utinger B, Vuille J C

机构信息

Institut für Sozial- und Präventivmedizin der Universität Bern.

出版信息

Helv Paediatr Acta. 1987 Jun;42(5-6):387-95.

PMID:3454347
Abstract

376 families having a two-year-old child were asked about their experience and opinion concerning their child's outpatient preventive and curative medical care. Half the sample resides in two urban areas ("the city") and half the sample resides in three non-urban ("the country") locations with no practising paediatrician at the time of the interview. In the city, all but 4.6% of the parents took their children to a paediatrician for the first vaccinations at three months. Nearly all the paediatricians used this opportunity to fully examine the child. In the country areas, 59% of the families had their children vaccinated by the family doctor, 38% of whom used the occasion to fully examine the child. The other 41% brought the child to the nearest city in order to visit a paediatrician. A majority of parents (80%) in all sampled areas expressed a desire for regular well-baby examinations by a physician. The well-baby clinics staffed by nurses are used significantly more frequently by country parents than by city parents. In the country, there is no difference between those families using a paediatrician and those using a family doctor. The data suggest that the clinics are a supplement, and not a replacement, for the preventive care given by a physician.

摘要

376个有两岁孩子的家庭被问及他们对孩子门诊预防和治疗性医疗护理的经历和看法。样本的一半居住在两个城市地区(“城市”),另一半居住在三个非城市地区(“乡村”),在采访时这些地区没有执业儿科医生。在城市中,除4.6%的父母外,所有父母都在孩子三个月大时带他们去看儿科医生进行首次疫苗接种。几乎所有的儿科医生都利用这个机会对孩子进行全面检查。在农村地区,59%的家庭由家庭医生为孩子接种疫苗,其中38%的家庭医生利用这个机会对孩子进行全面检查。另外41%的家庭则带孩子去最近的城市看儿科医生。所有抽样地区的大多数父母(80%)都表示希望由医生定期为孩子进行健康检查。由护士配备的婴儿健康诊所,农村父母的使用频率明显高于城市父母。在农村,使用儿科医生的家庭和使用家庭医生的家庭之间没有差异。数据表明,这些诊所是医生提供的预防保健的补充,而不是替代。

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