This study investigated patterns of universal health and education service use from birth through Kindergarten (age 4 years) and estimated associations between cumulative risk and service use patterns, and between service use patterns and children's developmental vulnerability in the Preparatory Year (age 5 years). The study used population-wide linkage of health and education administrative data records for 5168 children who had a 2018 AEDC instrument collected in Tasmania and were born in Tasmania (2011–2013). Latent class analysis (LCA) identified three service use patterns: Regular (72.2 per cent of children; reference group), Low (15.6 per cent of children) and High service use (12.2 per cent of children). The patterns of Regular, Low and High service use were consistent across health and education services used at different ages and stages of child development. Membership of the Low and High service use groups was associated with higher cumulative risk and increased odds of developmental vulnerability, relative to the Regular service use group. This population-wide view of universal service use can be used by the health and education sectors to explore ways in which their specialist expertise, resources and referral processes can be further integrated within and across services to meet the developmental needs of children and families.

中文翻译：

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澳大利亚塔斯马尼亚州从出生到幼儿园的普遍儿童健康和早期教育服务的使用以及预科年（5 岁）的发育脆弱性

本研究调查了从出生到幼儿园（4 岁）的全民健康和教育服务使用模式，并估计了累积风险与服务使用模式之间的关联，以及服务使用模式与预备年（5 岁）儿童发展脆弱性之间的关联。该研究使用了 5168 名在塔斯马尼亚收集了 2018 年 AEDC 仪器并在塔斯马尼亚出生（2011-2013 年）的儿童的健康和教育行政数据记录的全人群联系。潜在类别分析 (LCA) 确定了三种服务使用模式：常规（72.2% 的儿童；参考组）、低（15.6% 的儿童）和高服务使用（12.2% 的儿童）。常规的模式，在不同年龄和儿童发展阶段使用的健康和教育服务中，低服务和高服务使用是一致的。相对于常规服务使用组，低和高服务使用组的成员与更高的累积风险和增加的发展脆弱性相关联。卫生和教育部门可以利用这种全民服务使用观点来探索如何将他们的专业知识、资源和转诊流程进一步整合到服务内部和服务之间，以满足儿童和家庭的发展需求。