Qiao Mutian, Pu Jie, Xiao Shuyue, Zhang Yaguo, Zhang Lin, Xiao Xue, Hao Yan, Zhao Li
（ 610041） Department of Maternal and Children's Health and Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu 610041, China.
（）（ 610041） Key Laboratory of Birth Defects and Related Women and Children's Diseases of the Ministry of Education, Sichuan University, Chengdu 610041, China.
Sichuan Da Xue Xue Bao Yi Xue Ban. 2025 Mar 20;56(2):484-488. doi: 10.12182/20250360108.
Nursery services are a vital component of childcare for infants and toddlers. The quality and management of nursery services significantly impact the holistic development of infants and toddlers in terms of their physical, psychological, and social skills and capabilities. The first 1000 days in the life of an infant or toddler are a critical period that shapes their health status for their whole life, which highlights the need to prioritize health in childcare for infants and toddlers and to approach daily childcare services from a medical perspective. Based on the approach of integrating medical care and education, we innovatively explored and constructed a multidisciplinary patrol supervision model for childcare services, focusing on the PDCA cycle (Plan-Do-Check-Act cycle). We aim at establishing a multidisciplinary team of medical and nursing experts who provide evaluation and guidance for the institutional management, health management for infants and toddlers, disease prevention, and risk identification and screening of childcare services for infants and toddlers. This approach addresses the issue of the simplistic nature of the traditional patrol supervision involving only childcare physicians, improves service quality with high efficiency, meets the expectations of both childcare service providers and the families of infants and toddlers-the users of childcare services, enhances the effective implementation of childcare for infants and toddlers based on the integration of medical care and education, and improves the quality of a health-centered approach to childcare for infants and toddlers.
托育服务是婴幼儿照护的重要组成部分。托育服务的质量和管理在婴幼儿的身体、心理以及社交技能和能力方面，对其全面发展有着重大影响。婴幼儿生命中的前1000天是塑造其一生健康状况的关键时期，这凸显了在婴幼儿照护中优先考虑健康并从医学角度开展日常托育服务的必要性。基于医疗与教育相结合的理念，我们创新性地探索并构建了托育服务多学科巡查督导模式，重点围绕PDCA循环（计划－执行－检查－处理循环）。我们旨在组建一支由医护专家组成的多学科团队，为托育机构管理、婴幼儿健康管理、疾病预防以及托育服务的风险识别与筛查提供评估和指导。这种方法解决了传统巡查督导仅涉及托育医生而过于简单化的问题，高效提升服务质量，满足托育服务提供者以及婴幼儿家庭——托育服务使用者双方的期望，加强基于医教结合的婴幼儿照护的有效实施，并提高以健康为中心的婴幼儿照护质量。
