Frappier J Y, Steinmetz N
Can Med Assoc J. 1977 Dec 17;117(12):1403-6.
The health problems of 160 adolescents in four residential facilities of the Quebec social welfare court were studied. At the time of admission 44% had at least one problem requiring consultation with a specialist and 80% had an average of two problems requiring primary care. The medical records of 106 youngsters in two re-education centres were also reviewed and similar results were noted. The health services available, particularly physical examination and laboratory testing at the time of admission and arrangements for referral and follow-up were judged to be insufficient in most centres. Although society has taken custody of these adolescents, no one is responsible for their health care. Since February 1976 the social welfare court residential facilities and the network involved in the care of socially disturbed youngsters have been undergoing reorganization. Health programs and services ought to be part of this reorganization, and private physicians, hospitals and government each should have a role in the establishment and functioning of these programs.
对魁北克社会福利法庭四个寄宿机构中160名青少年的健康问题进行了研究。入院时，44%的青少年至少有一个问题需要咨询专科医生，80%的青少年平均有两个问题需要初级护理。还查阅了两个再教育中心106名青少年的病历，结果类似。大多数中心认为，现有的医疗服务，特别是入院时的体格检查和实验室检测以及转诊和随访安排不足。虽然社会已监护这些青少年，但无人对他们的医疗保健负责。自1976年2月以来，社会福利法庭寄宿机构和参与照顾社会扰乱青少年的网络一直在进行重组。健康项目和服务应成为这一重组的一部分，私人医生、医院和政府在这些项目的建立和运作中都应发挥作用。
