Steiner H
Br J Prev Soc Med. 1977 Mar;31(1):1-5. doi: 10.1136/jech.31.1.1.
The community child health clinics continued to provide an important and popular service for mothers with young children in Newcastle during 1972-1974, supplementing the primary care services of general practitioners as only a minority of them had undertaken the preventive aspects of child care. Most of the work of the community clinics was done by health visitors and it consisted of advice, support, and reassurance about the everyday problems of children. Although an appreciable amount of the work of the community doctors was developmental screening (birthday checks) most mothers consulted them about relatively minor medical complaints--such as feeding difficulties, specific developmental problems, and immunisation. There was no attempt to do a birthday check on all the children in the city and those that were done revealed few significant undetected abnormalities because most of the children had already attended clinics. In a poor area of the city, family and social problems were often found but very little consultation took place between health and social services, indicating the need for better liaison between these services. The community child health clinics will need to be maintained if general practitioners cannot provide these services and are unable to include preventive as well as curative child care within their practice.
1972年至1974年期间，社区儿童健康诊所继续为纽卡斯尔市有幼儿的母亲提供一项重要且受欢迎的服务，作为全科医生初级保健服务的补充，因为当时只有少数全科医生开展了儿童保健的预防工作。社区诊所的大部分工作由健康访视员完成，内容包括就儿童日常问题提供建议、支持和安慰。尽管社区医生的大量工作是进行发育筛查（生日检查），但大多数母亲就相对较小的医疗问题咨询他们，如喂养困难、特定发育问题和免疫接种。并没有试图对该市所有儿童进行生日检查，而且已进行检查的儿童中未发现多少重大未被察觉的异常情况，因为大多数儿童已经去过诊所。在该市一个贫困地区，经常发现家庭和社会问题，但卫生服务与社会服务之间很少进行协商，这表明这些服务之间需要更好的联络。如果全科医生无法提供这些服务，并且无法在其诊疗工作中纳入儿童保健的预防和治疗服务，那么社区儿童健康诊所将需要维持下去。
