Dworkin P H
Department of Pediatrics, St. Francis Hospital and Medical Center, Hartford, Connecticut.
J Dev Behav Pediatr. 1993 Jun;14(3):192-6.
As the professional concerned with monitoring children's growth and development, the pediatric provider is well positioned to contribute to the early detection of children unready for school. Successful early detection requires cooperation and an interchange of information among parents and health and educational personnel. The process of developmental surveillance acknowledges the limitations of screening tests and may be most effective in predicting children's school readiness. Child health supervision services are useful in the promotion of children's optimal school readiness. Research findings support a continued emphasis on developmentally oriented anticipatory guidance while individualizing content to respond to families' needs and encouraging parent-led agendas. Innovations in context worthy of consideration include home visiting, group well-child care, and parent-held child health records. The broad-based societal efforts necessary to promote school readiness and to diminish school failure demand firm and effective pediatric advocacy.
作为关注儿童生长发育监测的专业人员，儿科医疗服务提供者在促进早期发现未做好入学准备的儿童方面具有得天独厚的优势。成功的早期发现需要家长、健康及教育人员之间的合作与信息交流。发育监测过程认识到筛查测试的局限性，在预测儿童入学准备情况方面可能最为有效。儿童健康监督服务有助于促进儿童达到最佳入学准备状态。研究结果支持持续强调以发育为导向的预期指导，同时根据家庭需求个性化内容，并鼓励以家长为主导的议程。值得考虑的背景方面的创新包括家访、集体儿童健康护理和家长持有的儿童健康记录。促进入学准备和减少学业失败所需的广泛社会努力需要坚定而有效的儿科宣传。
