Houston H L, Davis R H
J R Coll Gen Pract. 1985 Feb;35(271):77-9.
The authors postulate that effective developmental surveillance of children, both in terms of detection of abnormalities and in maternal counselling, can be carried out by taking advantage of opportunities during ordinary consultation to identify problems and to offer advice. The results presented in this paper are part of a more detailed study in progress to compare such an opportunistic method of health surveillance with the traditional method of regular age-linked examinations provided by clinical medical officers. From a retrospective analysis of the medical records of 58 children who had reached their first birthday and who had been registered with the study practice since their birth, the authors suggest that, based upon attendance rates, opportunistic assessment of development by a general practitioner or a health visitor is more likely to encompass those children most at risk than assessment at clinics.
作者推测，通过利用普通咨询过程中的机会来识别问题并提供建议，就异常情况的检测和对母亲的咨询而言，对儿童进行有效的发育监测是可行的。本文呈现的结果是一项正在进行的更详细研究的一部分，该研究旨在将这种机会性健康监测方法与临床医学官员提供的传统定期年龄相关检查方法进行比较。通过对58名已满周岁且自出生起就在该研究机构登记的儿童的病历进行回顾性分析，作者认为，基于就诊率，全科医生或健康访视员对发育进行的机会性评估比在诊所进行的评估更有可能涵盖那些风险最高的儿童。
