CCJ Sia

Abstract

The health needs of children must be addressed in the context of the family and community. Primary care pediatricians should recognize the general needs of children and the risk factors that are early predictors of "rotten outcomes" of adolescence. A paradigm shift is indicated towards prevention and early intervention. An integrated system of care based on health, education, and family support is essential in each community to foster optimal growth and development of the child. The Medical Home concept has been promoted for primary health care in the USA. This offers accessible, family centered, community based, coordinated, comprehensive, continuous, culturally effective, and compassionate care. The American Academy of Pediatrics supports "every child deserves a medical home" and "one pediatrician can make a difference in his/her community."

兒童的健康需要是家庭和社區都必須面對的課題。從事初級保健的兒科醫生應該要意識到兒童的一般需要和對青少年能造成不良後果的具早期預報性的危險因素。預防和早期介入便是一個典範的轉變，對於每一個社區而言，要鼓勵兒童健康地生長，就要有以健康教育和家庭扶持為基礎的保健系統。健康家庭的概念已經在美國的初級保健中發揚開來。它提供一個容易得到，以家庭為中心，社區為基礎，協調的、綜合性的、延續性的、文化上有力的和富同情心的保健，美國兒科學會支持“每一個孩子都應該有一個健康家庭”和“每一個兒科醫生都能夠改變他/她的社區”的理念。