Health care needs of children in the foster care system.
Health care needs of children in the foster care system.
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寄养系统中儿童的医疗保健需求。
DOI：
10.1542/peds.106.s3.909
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发表时间：
2000
期刊：
影响因子：
8
通讯作者：
M. Szilagyi
中科院分区：
文献类型：
--
作者：
M. Simms;H. Dubowitz;M. Szilagyi
目前，美国有近75万名儿童被寄养。寄养方面的最近趋势包括依靠大家庭成员照料亲属照料安置的儿童，加紧努力缩短安置时间，加速终止父母权利的程序，以及强调收养。目前还不清楚福利改革对可能需要寄养安置的儿童人数有何影响。虽然大多数儿童进入寄养医疗，心理健康或发展问题，许多人没有得到充分或适当的照顾，而安置。特别是心理和情感问题，可能会恶化而不是改善。这一群体在获得适当保健方面存在着多重障碍。卫生保健从业人员可以帮助改善寄养儿童的健康和福祉进行及时和彻底的入院评估，提供护理的连续性，并发挥积极的宣传作用。卫生服务研究的潜在领域包括研究不同模式的卫生保健服务的影响，医疗之家在提供连续性护理中的作用，儿童对寄养经历的看法，儿童对寄养的适应，以及寄养父母对健康结果的教育。
Nearly 750 000 children are currently in foster care in the United States. Recent trends in foster care include reliance on extended family members to care for children in kinship care placements, increased efforts to reduce the length of placement, acceleration of termination of parental rights proceedings, and emphasis on adoption. It is not clear what impact welfare reform may have on the number of children who may require foster care placement. Although most children enter foster care with medical, mental health, or developmental problems, many do not receive adequate or appropriate care while in placement. Psychological and emotional problems, in particular, may worsen rather than improve. Multiple barriers to adequate health care for this population exist. Health care practitioners can help to improve the health and well-being of children in foster care by performing timely and thorough admission evaluations, providing continuity of care, and playing an active advocacy role. Potential areas for health services research include study of the impact of different models of health care delivery, the role of a medical home in providing continuity of care, the perception of the foster care experience by the child, children's adjustment to foster care, and foster parent education on health outcomes.
初次安置后的第一年，寄养儿童普遍存在生长迟缓和不同程度的生长恢复。
DOI：
10.1001/archpedi.1997.02170450063010
发表时间：
1997
影响因子：
--
作者：
Wyatt,DT;Simms,MD;Horwitz,SM
通讯作者：
Horwitz,SM
寄养学龄儿童的精神药物治疗模式。
DOI：
10.1089/cap.1999.9.135
发表时间：
1999
期刊：
Journal of child and adolescent psychopharmacology.
影响因子：
--
作者：
Zima,BT;Bussing,R;Crecelius,GM;Kaufman,A;Belin,TR
通讯作者：
Belin,TR