Young K T, Davis K, Schoen C, Parker S
Commonwealth Fund, New York, NY USA.
Arch Pediatr Adolesc Med. 1998 Mar;152(3):255-62.
To document the child-rearing needs and pediatric health care experiences of parents with children from birth to 3 years old.
A nationally representatives sample of 2017 parents with children younger than 3 years using a 25-minute structured telephone questionnaire. Interviews were completed by 68% of the screened eligible respondents. The margin of sampling error for results at the 95% confidence level was +/- 3 percentage points.
Seventy-six percent of children younger than 3 years were reported by parents to be in excellent health; 88% had a regular source of pediatric health care. Seventy-one percent of parents who received special pediatric services rated their child's physician as excellent in providing good health care. Seventy-nine percent of parents reported they could use more information in at least 1 of 6 areas of child rearing, and 53% wanted information in at least 3 areas. Forty-two percent had talked with their child's physician about "nonmedical" concerns; 39% of parents read to or looked at a picture book with their child on a daily basis; 51% of parents set daily routines for meals, naps, and bedtime. Breast-feeding and reading to the child on a daily basis were much more likely if a physician encouraged parents to do so.
Most parents view the pediatric health care system as meeting the physical health needs of their young children. Parents want more information and support on child-rearing concerns, yet pediatric clinicians often fail to discuss nonmedical questions with them. The interventions of pediatric clinicians can positively affect parental behavior. Pediatric practices should consider creative ways to reconstitute and augment their current services and systems of care.
记录有0至3岁孩子的父母的育儿需求及儿童保健经历。
采用一份25分钟的结构化电话调查问卷，对2017名有3岁以下孩子的父母进行全国代表性抽样调查。68%经筛选合格的受访者完成了访谈。95%置信水平下结果的抽样误差幅度为正负3个百分点。
父母报告称，76%的3岁以下儿童健康状况极佳；88%的儿童有固定的儿童保健来源。接受特殊儿童服务的父母中，71%对孩子医生提供的优质保健服务给予高度评价。79%的父母表示，他们在育儿的6个领域中至少有1个领域需要更多信息，53%的父母希望在至少3个领域获取信息。42%的父母与孩子的医生讨论过“非医疗”问题；39%的父母每天给孩子读书或看图画书；51%的父母为孩子设定了用餐、午睡和就寝的日常规律。如果医生鼓励父母这样做，父母更有可能进行母乳喂养和每天给孩子读书。
大多数父母认为儿童保健系统满足了幼儿的身体健康需求。父母希望在育儿问题上获得更多信息和支持，但儿童临床医生往往未能与他们讨论非医疗问题。儿童临床医生的干预可以对父母的行为产生积极影响。儿科医疗机构应考虑创新方式来重组和扩充其当前的服务及护理体系。
