Evidence-based well-baby care. Part 1: Overview of the next generation of the Rourke Baby Record.

摘要

PROBLEM BEING ADDRESSED: Well baby and child care in the primary care setting has not always been based on evidence that has been shown to be effective in preventing and detecting disease and injury. OBJECTIVE OF THE PROGRAM: To help physicians and nurses provide care that is more effective than a routine complete examination, the Rourke Baby Record has been revised to include evidence-based recommendations for preventive care for infants and young children. The revision incorporates the approach and recommendations of the Canadian Task Force on the Periodic Health Examination. The updated record is now called the Rourke Baby Record: Evidence-Based Infant/Child Health Maintenance Guide (Rourke Baby Record: EB). MAIN COMPONENTS OF PROGRAM: Part 1 of this two-part article briefly describes the background for development and presents an overview of the revised record. Part 2 discusses in detail the evidence that exists for maneuvers included in the education and advice section of the revised record. CONCLUSION: Using the Rourke Baby Record: EB and incorporating it into their office record systems as a working guide will help increase the effectiveness of the primary preventive care physicians provide to infants and young children.