Paediatric primary care in Europe: Variation between countries
| Autor: | Van Esso, D., Del Torso, S., Hadjipanayis, A., Biver, A., Jaeger-Roman, E., Wettergren, B., Nicholson, A., Zach, M., Hamilton, P., Tenore, A., Ramet, J., Craft, A., Pulido, M., Azevedo, I., Barak, S., Barillari, A., Bovet, F., Chybicka, A., De Beaufort, Carine, Eigenmann, A. K., Einberg, Ü., Ghenev, E., Hardarson, H., Kadar, F., Kubatova, G., Lanka, I., Lounamaa, R., Mimouni, F., Prcuchova, K., Prieler, A., Rubel, F., Rudzeviciene, O., Sedlak, W., Zupancic, M. S., Siebke, E., Simovicova, K., Skovby, F., Solomou, M., Stefanidis, D., Szitanyi, N., Verloove Vanhorick, P. |
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| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Adolescent
Primary Health Care Multidisciplinaire généralités & autres [D99] [Sciences de la santé humaine] education Child Health Services Infant Newborn Infant Pediatrics Europe Education Medical Graduate Child Preschool Health Care Surveys Humans Health Services Research Child Delivery of Health Care Multidisciplinary general & others [D99] [Human health sciences] |
| Zdroj: | Archives of Disease in Childhood, 95(10), 791-795. (2010). |
| Popis: | Background: Although it is known that differences in paediatric primary care (PPC) are found throughout Europe, little information exists as to where, how and who delivers this care. The aim of this study was to collect information on the current existing situation of PPC in Europe. Methods: A survey, in the form of a questionnaire, was distributed to the primary or secondary care delegates of 31 European countries asking for information concerning their primary paediatric care system, demographic data, professionals involved in primary care and details of their training. All of them were active paediatricians with a broad knowledge on how PPC is organised in their countries. Results: Responses were received from 29 countries. Twelve countries (41%) have a family doctor/general practitioner (GP/FD) system, seven (24%) a paediatrician-based system and 10 (35%) a combined system. The total number of paediatricians in the 29 countries is 82 078 with 33 195 (40.4%) working in primary care. In only 15 countries (51.7%), paediatric age at the primary care level is defined as 0-18 years. Training in paediatrics is 5 years or more in 20 of the 29 countries. In nine countries, training is less than 5 years. The median training time of GPs/FDs in paediatrics is 4 months (IQR 3-6), with some countries having no formal paediatric training at all. The care of adolescents and involvement in school health programmes is undertaken by different health professionals (school doctors, GPs/FDs, nurses and paediatricians) depending on the country. Conclusions: Systems and organisations of PPC in Europe are heterogeneous. The same is true for paediatric training, school healthcare involvement and adolescent care. More research is needed to study specific healthcare indicators in order to evaluate the efficacy of different systems of PPC. |
| Databáze: | OpenAIRE |
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