Wingert W A, Larsen W, Lenoski E F, Friedman D B
Calif Med. 1969 Mar;110(3):207-12.
A communication gap in transmission of information from health professionals to indigent parents is demonstrated by the incomplete immunization of children attending pediatric health facilities. To bridge this gap, young women of similar ethnic and social backgrounds were recruited and trained briefly in counseling parents concerning adequate immunization. The effectiveness of these Health Aides in motivating parents to complete an immunization series was less than that of Public Health Nurses. Even so, the Aides were able to motivate two-thirds of the families that they counseled. Conclusions were that a significant number of children appearing in a large public emergency room facility are unimmunized. Many of these children are not seriously ill and an immunization series can be initiated "on the spot." Motivation to complete the series can be done almost as satisfactorily by young rapidly trained indigenous Health Aides as by professionals.
儿科保健机构中儿童免疫接种不完全的情况表明，在从卫生专业人员向贫困父母传递信息方面存在沟通差距。为了弥合这一差距，招募了具有相似种族和社会背景的年轻女性，并对她们进行了关于向父母提供充分免疫接种咨询的简短培训。这些健康助手在激励父母完成免疫接种系列方面的效果不如公共卫生护士。即便如此，这些助手仍能够激励三分之二接受其咨询的家庭。结论是，在一家大型公共急诊室就诊的大量儿童未接种疫苗。其中许多儿童病情并不严重，可以“当场”开始接种疫苗系列。迅速接受培训的年轻本地健康助手在激励父母完成接种系列方面的效果几乎与专业人员一样令人满意。
