Szilagyi P G, Schor E L
University of Rochester, Strong Memorial Hospital, NY 14642, USA.
Health Serv Res. 1998 Oct;33(4 Pt 2):1001-39.
To summarize the concept of child health and the measurement of child health status in order to help guide the evaluation of the effectiveness of medical, social, and policy programs.
Opportunities for research on children's health status and quality of care abound. Comprehensive and functional definitions create problems of measurement, but investigators are making progress in measuring children's health status both generically and for specific chronic health conditions.
Measures of child health need to be developed, improved, tested, and made user-friendly for clinical and policy research. The relationship between health status and a variety of social programs for children and families needs study. The impact of changes in healthcare organization and financing must be investigated, especially for children from vulnerable subgroups. Determining the value and effectiveness of preventive services is a pressing issue. It is crucial to understand better the link among quality of care; other factors biological, family, and social; and children's health status.
总结儿童健康的概念以及儿童健康状况的衡量方法，以帮助指导对医疗、社会和政策项目有效性的评估。
关于儿童健康状况和医疗质量的研究机会很多。全面且实用的定义带来了测量方面的问题，但研究人员在总体上以及针对特定慢性健康状况测量儿童健康状况方面正在取得进展。
需要开发、改进、测试儿童健康测量方法，并使其便于临床和政策研究使用。需要研究健康状况与针对儿童及家庭的各种社会项目之间的关系。必须调查医疗保健组织和融资变化的影响，尤其是对弱势亚群体儿童的影响。确定预防服务的价值和有效性是一个紧迫问题。更好地理解医疗质量、其他生物、家庭和社会因素以及儿童健康状况之间的联系至关重要。
