Stein R E, Jessop D J, Riessman C K
Am J Dis Child. 1983 Mar;137(3):225-30. doi: 10.1001/archpedi.1983.02140290017005.
The mothers of 209 children with chronic illness who were being treated at a university-affiliated municipal hospital were interviewed in their homes to assess the extent to which their children received health services. Most families received traditional biomedical types of care, but few families had received psychosocial services. Children with the most severe conditions tended to receive more services than others, and receipt of nonbiomedical services was associated with identification of a specific provider. Mothers indicated that, in addition to traditional services, they wanted advice on how to manage the child's condition at home. These results confirm previous findings and suggest that gaps in service provision may be generalizable to children with chronic illness regardless of the setting and diagnosis.
对一所大学附属市级医院正在接受治疗的209名慢性病患儿的母亲进行了家访,以评估她们的孩子获得医疗服务的程度。大多数家庭接受传统生物医学类型的护理,但很少有家庭接受过心理社会服务。病情最严重的儿童往往比其他儿童获得更多服务,接受非生物医学服务与确定特定提供者有关。母亲们表示,除了传统服务外,她们还希望得到关于如何在家中护理孩子病情的建议。这些结果证实了先前的研究发现,并表明无论环境和诊断如何,慢性病患儿在服务提供方面的差距可能普遍存在。