Levy J C
Pediatrics. 1980 May;65(5):956-63.
In a study of use of five general pediatric services, 750 parents were interviewed on site about their decisions on how and when to seek medical care for their children. Parents' fears that a particular child was "vulnerable"--ie, uniquely threatened by an episode of illness--was a recurrent concern (reported by 27%), explaining many of their medical visits. Medical record review indicated that in 40%, there was no clinical basis for these parent concerns. One important source of these unwarranted concerns was fear of recurrence of an earlier medical problem, long since resolved. In some families, the role of social and environmental issues in generating a high level of concern was evident. Vulnerable children made more visits per year and made many more of their visits to the emergency room, and their parents more often expressed dissatisfaction with care received. Recognition of reasons underlying parents' sense of the child's special status may do much to allay unnecessary fears and promote more appropriate use of health care facilities.
在一项关于五项普通儿科服务使用情况的研究中，对750名家长进行了现场访谈，询问他们关于如何以及何时为孩子寻求医疗护理的决定。家长担心某个特定孩子“易患病”——即特别容易受到疾病发作的威胁——这是一个反复出现的问题（27%的家长报告了这一情况），解释了他们许多次就医行为。病历审查表明，40%的情况中，家长的这些担忧并无临床依据。这些无端担忧的一个重要来源是对早已解决的早期医疗问题复发的恐惧。在一些家庭中，社会和环境问题在引发高度担忧方面的作用很明显。易患病的孩子每年就诊次数更多，且更多是去急诊室就诊，他们的家长也更常对所接受的护理表示不满。认识到家长认为孩子具有特殊状况的背后原因，可能在很大程度上缓解不必要的恐惧，并促进更合理地利用医疗保健设施。
