Cheng T L, Savageau J A, DeWitt T G, Bigelow C, Charney E
Department of General Pediatrics, Children's National Medical Center, Washington, DC 20010, USA.
Clin Pediatr (Phila). 1996 Mar;35(3):129-37. doi: 10.1177/000992289603500304.
The purpose of the study was to assess parent expectations and goals in child health supervision and variability by socioeconomic status (SES), family size, social support, and pediatrician. Home interviews were conducted with mothers and their pediatricians were surveyed. Two hundred mothers with at least one child age 2-3 years who see one of five pediatricians in a staff model health maintenance organization were asked to participate. Mothers' and pediatricians' goals in the following seven areas of health supervision were assessed: biomedical, development, behavior, family functioning, safety education, and interpersonal and system interaction. Mothers stated physicians were their main source of parenting information. Assurance of physical health and normal development were more important than discussion of behavioral, family, or safety issues. Mothers of low SES were more likely to feel that physical aspects of health should be the focus and were less interested in psychosocial issues. Physicians stressed interpersonal, safety, and behavioral goals more than mothers. Individual physician responses did not predict the responses of mothers in their practice. Our data suggest either that mothers do not feel that psychosocial and safety issues are the highest priorities in health supervision or that physicians are not effectively reaching mothers on these issues.
该研究的目的是评估家长在儿童健康监护方面的期望和目标，以及这些期望和目标因社会经济地位（SES）、家庭规模、社会支持和儿科医生的不同而产生的差异。研究人员对母亲进行了家访，并对她们的儿科医生进行了调查。在一个员工模式的健康维护组织中，研究人员邀请了200名至少有一个2至3岁孩子、且在五名儿科医生之一处就诊的母亲参与研究。研究人员评估了母亲和儿科医生在以下七个健康监护领域的目标：生物医学、发育、行为、家庭功能、安全教育以及人际和系统互动。母亲们表示医生是她们育儿信息的主要来源。确保身体健康和正常发育比讨论行为、家庭或安全问题更为重要。社会经济地位较低的母亲更倾向于认为健康的身体方面应是重点，而对心理社会问题的兴趣较低。与母亲相比，医生更强调人际、安全和行为目标。个别医生的回答并不能预测其诊所中母亲们的回答。我们的数据表明，要么是母亲们觉得心理社会和安全问题在健康监护中并非最优先考虑的事项，要么是医生在这些问题上未能有效地与母亲们沟通。
