Leff S, Bennett J
CCP South Downs Health NHS Trust, Peacehaven, East Sussex.
Public Health. 1996 Sep;110(5):289-92. doi: 10.1016/s0033-3506(96)80091-6.
During the last 3 years in which doctors saw all school entrants, the decisions made about each child on examination were recorded and a protocol about decision-making to support children with health needs was drawn up. In September 1994, school entry health care assessments by the school nurses were introduced. Having previously recorded the numbers in each school who required medical interest and support, it was possible to rationalise which schools should be the primary responsibility of the nurses, which should retain medical contact for all children and in which schools assessments should be shared. The outcomes in decision making after introducing nurse assessments were recorded in the same format as used by the doctors, so that the effect of passing responsibility to nurse colleagues could be assessed. The findings suggested that an equivalent number of children were referred to other services or selected for continuing review. However, the proportion of children whose needs were discussed with the headteacher without the children being selected for review was reduced. Issues to take forward were identified.
在过去医生对所有入学儿童进行检查的3年里，记录了对每个孩子检查后做出的决定，并制定了一份关于决策的方案，以支持有健康需求的儿童。1994年9月，引入了学校护士进行的入学健康护理评估。此前记录了每所学校中需要医疗关注和支持的学生人数，从而能够合理确定哪些学校应由护士承担主要责任，哪些学校应为所有儿童保持医疗联系，以及哪些学校的评估应由双方共同进行。引入护士评估后的决策结果以与医生相同的格式记录，以便评估将责任转交给护士同事的效果。结果表明，被转介到其他服务机构或被选入持续复查的儿童数量相当。然而，在未将儿童选入复查的情况下与校长讨论其需求的儿童比例有所下降。确定了需要推进的问题。
