Newacheck P W, Halfon N
Med Care. 1986 Jan;24(1):30-8. doi: 10.1097/00005650-198601000-00004.
Using data from the National Health Interview Survey on approximately 30,000 children, maternal and child ambulatory care utilization patterns are compared. The results indicate that maternal physician utilization is closely associated with child utilization, as measured by presence or absence of a physician visit over the course of a year as well as annual volume of use. Maternal use appears to be a more powerful predictor of child use than several other family and maternal variables. These results confirm and expand on those of previous localized population-based studies and suggest that interventions directed at the mother may be effective in ensuring equitable and efficient use of ambulatory services by children.
利用来自国家健康访谈调查中约30000名儿童的数据,对母婴门诊护理利用模式进行了比较。结果表明,以一年中是否有医生诊疗以及年度使用量来衡量,母亲对医生的利用与孩子的利用密切相关。与其他几个家庭和母亲变量相比,母亲的利用似乎是孩子利用的更强有力的预测指标。这些结果证实并扩展了先前基于局部人群的研究结果,表明针对母亲的干预措施可能有助于确保儿童公平、有效地利用门诊服务。