Special educational needs, social care and health
Special educational needs, social care and health
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DOI：
10.1136/archdischild-2019-317985
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发表时间：
2021-01-01
影响因子：
5.2
通讯作者：
Gilbert, Ruth
中科院分区：
文献类型：
--
作者：
Jay, Matthew A.;Gilbert, Ruth
更好地了解在上学期间接受特殊教育需求或社会护理服务的儿童比例与医疗保健高度相关，因为减少一项或多项这些服务可能会影响医疗保健。使用全国学生数据库链接到全英格兰的儿童看后返回和有需要的儿童普查，我们估计的SEN状态的累积发病率在（1）儿童在学校期间曾经在照顾，（2）儿童需要，但不照顾，（3）两者都没有。我们观察到，在学龄期间需要照顾或需要照顾的儿童中，有很高比例的儿童在某个时候获得了特殊教育服务（分别为83%和65%），而这两个群体中也有很高比例的儿童没有这样做（37%）。医疗保健、特殊教育需求提供和社会护理服务的重点是类似的儿童群体。更好地整合这些服务可以产生协同作用和成本效益，并为这些儿童及其家庭提供更好的支持。
Better understanding of the proportion of children who ever receive special educational needs (SEN) provision or social care services during school years is highly relevant for healthcare as reductions in one or more of these services could impact on healthcare. Using the National Pupil Database linked to the all-of-England children looked after return and children in need census, we estimated the cumulative incidence of SEN status among (1) children ever in care during school, (2) children in need but not care, and (3) neither. We observed a very high proportion of children who were in care or need during school years had SEN provision at some point (83% and 65%, respectively), and that a high proportion of children in neither of these groups did so, too (37%). Healthcare, SEN provision and social care services focus on a similar population of children. Better integration of these services could lead to synergies and cost-efficiencies and better support for these children and their families.