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Article
May 5, 1956

GRID TECHNIQUE AS TOOL FOR IMPROVING HEALTH SERVICES TO INSTITUTIONALIZED CHILDRENA TEN-YEAR EXPERIENCE

JAMA. 1956;161(1):1-5. doi:10.1001/jama.1956.02970010003001
Abstract

The grid technique is a means of keeping the medical records of children and ascertaining direction and quality of growth. It consists of the use of a chart, the face side of which gives a tabulation of the height and weight records of the child and the essential graphic representation of these records. Additional data are entered on both obverse and reverse sides. After some experience, the observer becomes very adept at reading the graph and discovering signs of disturbed development in a child.

Physical or emotional illness is manifested by failure to progress along the curve or by deviations from it. This is illustrated by five case histories, which also show how recovery is indicated by resumption of growth. The grid technique has been found to be more productive of results than is the routine inspection of large groups of children. It is the easiest and most dependable way of assaying the quality of growth, setting therapeutic goals, and evaluating the results achieved.

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