Settertobulte W
Universität Bielefeld, Fakultät für Gesundheitswissenschaften NRW-Forschungsverbund Public Health.
Z Arztl Fortbild Qualitatssich. 1998 Mar;92(2):79-84.
Even though adolescents suffer from a variety of complains, they often do not consult a physician. After a high consultations rate during infancy and childhood, the rate dramatically decreases at the age of 10. During this period, it is typical that a decreasing number of consultations are influenced by parents while adolescents increasingly make their own decisions to consult a physician in case of illness. Also a change from pediatric care to other forms of primary care takes place in this age. It is argued that the decrease of consultation rates in adolescence is caused by difficulties in creating a confident social relationship between physicians and adolescents and by a lack of age-adequate medical services. Proposals for an improvement of adolescent health care are made at the end of the paper.
尽管青少年有各种各样的不适，但他们往往不去看医生。在婴儿期和儿童期咨询率较高之后，10岁时这一比率急剧下降。在此期间，受父母影响而进行咨询的次数逐渐减少，青少年在生病时越来越多地自己决定去看医生，这是很典型的。在这个年龄段，还会从儿科护理转向其他形式的初级护理。有人认为，青少年咨询率下降的原因是医生与青少年之间难以建立起信任的社会关系，以及缺乏适合该年龄段的医疗服务。本文末尾提出了改善青少年医疗保健的建议。
