AAP Schedule of Well-Child Care Visits

美國兒科醫學會建議的<健康兒童門診時程表>

資料連結https://www.healthychildren.org/English/family-life/health-management/Pages/Well-Child-Care-A-Check-Up-for-Success.aspx

周醫師的評語: 台灣健保目前能夠做到的所謂"兒童預防保健"內容，與上述AAP建議可說相差甚遠，家長們只要略為比較即可知道。

其中差距實在有賴有心又有豐富經驗的兒科醫師與關心嬰幼兒健康的家長共同努力。

Parents know who they should go to when their child is sick. But pediatrician visits are just as important for healthy children.

The Bright Futures/American Academy of Pediatrics (AAP) developed a set of comprehensive health guidelines for well-child care, known as the "periodicity schedule." It is a schedule of screenings and assessments recommended at each well-child visit from infancy through adolescence.

此一時程表重點在於定期性/完整性/涵蓋嬰兒期到成人初期

#Schedule of well-child visits (定期健康兒童門診-從出生後直到21歲)

·   The first week visit (3 to 5 days old)

·   1 month old

·   2 months old

·   4 months old

·   6 months old

·   9 months old

·   12 months old

·   15 months old

·   18 months old

·   2 years old (24 months)

·   2 ½ years old (30 months)

·   3 years old

·   4 years old

·   5 years old

·   6 years old

·   7 years old

·   8 years old

·   9 years old

·   10 years old

·   11 years old

·   12 years old

·   13 years old

·   14 years old

·   15 years old

·   16 years old

·   17 years old

·   18 years old

·   19 years old

·   20 years old

·   21 years old 

#The benefits of well-child visits

·   Prevention 疾病預防. Your child gets scheduled immunizations to prevent illness. You also can ask your pediatrician about nutrition and safety in the home and at school.

·   Tracking growth and development定期追蹤生長與發展. See how much your child has grown in the time since your last visit, and talk with your doctor about your child's development. You can discuss your child's milestones, social behaviors and learning.

·   Raising concerns帶養過程的問題與擔憂. Make a list of topics you want to talk about with your child's pediatrician such as development, behavior, sleep, eating or getting along with other family members. Bring your top three to five questions or concerns with you to talk with your pediatrician at the start of the visit.

·   Team approach團隊合作式的評估(兒科醫師/家長/孩子). Regular visits create strong, trustworthy relationships among pediatrician, parent and child. The ⑤AAP recommends well-child visits as a way for pediatricians and parents to serve the needs of children. This team approach helps develop optimal physical, mental and social health of a child.

# The comprehensive contents of well-child visits

定期健康評估的主要內容包括有

①生長評量

②視力/聽力篩檢

③發展/行為評量

④身體檢查

⑤施行步驟包括重要抽血檢驗(膽紅素/貧血/血鉛/血脂異常)、肺結核、疫苗接種、

性病、愛滋病與子宮頸檢查

o口腔檢查

p前瞻性指導等。