Six Questions for Well-Child Care Redesign
Six Questions for Well-Child Care Redesign
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DOI：
10.1016/j.acap.2018.05.003
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发表时间：
2018-08-01
影响因子：
3.1
通讯作者：
Coker, Tumaini R.
中科院分区：
文献类型：
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作者：
Freeman, Brandi K.;Coker, Tumaini R.
在美国，良好的儿童护理的目标是通过在建议的时间间隔内进行访问，解决发展，行为，心理和健康问题，为儿童提供全面的护理。家庭的预防性保健需求可能超过诊所和诊所提供这种保健的能力，这就需要重新设计我们的儿童保健系统，使预防性保健的结构与家庭的需求相一致。在这里，我们专注于6个问题（什么，何时，谁，为什么，如何和在哪里）为婴儿和幼儿重新设计良好的儿童护理。通过解决这些关键问题，并提供建议，在临床和研究领域推进良好的儿童护理重新设计，我们希望加快良好的儿童护理重新设计的过程。在当前的政治和社会经济环境下，继续“照常”提供良好的儿童保育将意味着许多家庭会发现，他们的良好儿童保育访问并不能完全满足影响儿童健康和福祉的最紧迫需求。现在是在我们的预防保健系统中实施和维持真实的变革的时候了。
In the United States, well-child care has the goal of providing comprehensive care to children by addressing developmental, behavioral, psychosocial, and health issues through visits at recommended intervals. The preventive care needs of families can outpace the capacity of clinics and practices to provide it, necessitating a redesign of our well-child care system that aligns the structure of preventive care delivery with the needs of families. Here we focus on 6 questions (the what, when, who, why, how, and where) for well-child care redesign for infants and young children. By addressing these key questions and providing recommendations for advancing well-child care redesign in the clinical and research arenas, we hope to accelerate the process of well-child care redesign. In the current political and socioeconomic environment, continuing with well-child care "as usual" will mean that many families will find that their well-child care visits do not fully address the most pressing needs impacting children's health and well-being. It is time to implement and sustain real change in our system for preventive care.