Children who have been internationally adopted often have complex health issues and unique challenges.¹ The paediatric office provides a medical home by offering continuity of care, links to community support, and appropriate evaluation and treatment. During the pre-adoption evaluation, biographical and medical information provided by the child’s country of origin is reviewed. Additionally, soon after the child’s adoption, a complete medical history and physical examination should be completed. Although laboratory work may have been performed previously, studies should be repeated to ensure reliability. Developmental assessment and review of vaccinations should be completed as well. Anticipatory guidance should be provided regarding medical concerns, effects of institutionalisation and the possibility of attachment issues. Follow-up care ensures optimal medical, developmental and behavioural surveillance in this patient population.

被国际收养的儿童通常有复杂的健康问题和独特的挑战。¹儿科办公室通过提供连续护理、与社区支持的联系以及适当的评估和治疗来提供医疗之家。在收养前评估期间，将对儿童原籍国提供的传记和医疗信息进行审查。此外，在孩子被收养后不久，应完成完整的病史和体格检查。尽管之前可能已进行过实验室工作，但应重复研究以确保可靠性。还应完成疫苗接种的发育评估和审查。应就医疗问题、收容机构的影响和依恋问题的可能性提供预期指导。后续护理可确保对这一患者群体进行最佳的医疗、发育和行为监测。