Schor E L
Pediatrics. 1982 May;69(5):521-8.
The foster home care system is the most commonly used alternative for the care of dependent children in the United States. However, it often fails to achieve its objective of returning the child to his home or providing a permanent substitute family. Children entering foster care have frequently suffered social, emotional, and medical neglect, and physical abuse. They have a high rate of chronic medical problems, educational handicaps, and severe emotional impairment. In many cases the health care that foster children receive fails to recognize and/or adequately address their disabilities. In order for the pediatric practitioner to work successfully with a foster child, he must not only provide comprehensive health care, but also must be familiar with the social welfare system within which the child lives.
寄养家庭照料系统是美国照顾受抚养儿童最常用的替代方式。然而，它常常无法实现让孩子回家或提供一个永久替代家庭的目标。进入寄养照料的儿童经常遭受社会、情感和医疗方面的忽视以及身体虐待。他们患慢性疾病、有教育障碍和严重情感障碍的比例很高。在许多情况下，寄养儿童所接受的医疗保健未能识别和/或充分解决他们的残疾问题。为了让儿科医生成功地与寄养儿童合作，他不仅必须提供全面的医疗保健，还必须熟悉孩子所生活的社会福利系统。
