Yerbury M
Medical Coordinator of the Child Development Centre, Bedford, UK.
Child Care Health Dev. 1997 Jan;23(1):77-86. doi: 10.1046/j.1365-2214.1997.837837.x.
This paper presents a review of key issues surrounding multidisciplinary work in relation to the care of children with disabilities and their families. The discussion is based on experience of working in a child development team and research visits to teams around Britain at the beginning of the 1990s. An outstanding feature of child disability services is their organizational diversity. The research found that district interagency planning groups were a rarity, as were multiagency management groups for teams. Thus it was rare for teams to have clear lines of external accountability. Similarly leadership and management structures within the teams had a profound influence on their effectiveness. Issues are highlighted for identifying good practice and for further development of services.
本文综述了与残疾儿童及其家庭护理相关的多学科工作的关键问题。讨论基于20世纪90年代初在一个儿童发展团队的工作经验以及对英国各地团队的调研访问。儿童残疾服务的一个突出特点是其组织多样性。研究发现，地区跨机构规划小组很少见，团队的多机构管理小组也是如此。因此，团队很少有明确的外部问责制。同样，团队内部的领导和管理结构对其有效性有深远影响。文中强调了一些问题，以确定良好做法并促进服务的进一步发展。
