Goorhuis-Brouwer S M, Albers F W, Wit H P
Academisch Ziekenhuis, afd. KNO-Communicatieve Stoornissen, Groningen.
Ned Tijdschr Geneeskd. 1998 Jan 3;142(1):17-21.
Communication disorders in children can be caused by impaired hearing. However, also other factors can adversely influence speech and language development, such as mental retardation, lack of language stimulation and anatomical defects of speech organs. Speech and language development can be regarded as a symptom; therefore a multidisciplinary diagnostic procedure is essential to the planning of an adequate therapy programme. In the Netherlands a great variety in diagnosis and treatment exists. A child with a communication disorder is usually seen by five specialists, and the interval between recognition of the communication problem by the parents and the final diagnosis, after which therapy starts, sometimes lasts almost three years. Besides that, in a majority of cases speech and language therapy is offered. In order to change this process for the better a prospective research programme was started in the Academic Hospital Groningen, the Netherlands, with a protocolled multidisciplinary diagnostic approach. The first findings are encouraging: 89% of 209 children with supposed communication disorders were diagnosed after one visit to the outpatient clinic.
儿童的交流障碍可能由听力受损引起。然而，其他因素也可能对言语和语言发展产生不利影响，如智力迟钝、缺乏语言刺激以及言语器官的解剖缺陷。言语和语言发展可被视为一种症状；因此，多学科诊断程序对于制定适当的治疗方案至关重要。在荷兰，诊断和治疗存在很大差异。患有交流障碍的儿童通常会由五位专家诊治，从父母意识到交流问题到最终诊断（之后开始治疗）之间的间隔有时长达近三年。除此之外，在大多数情况下会提供言语和语言治疗。为了使这一过程得到改善，荷兰格罗宁根大学医学中心启动了一项前瞻性研究项目，采用了规范的多学科诊断方法。初步研究结果令人鼓舞：209名疑似有交流障碍的儿童中，89%在门诊就诊一次后就得到了诊断。
