Reference : Paediatric primary care in Europe: Variation between countries
Scientific journals : Article
Human health sciences : Multidisciplinary, general & others
Paediatric primary care in Europe: Variation between countries
Van Esso, D. [Primary Care Centre Pare Claret, Barcelona, Spain]
Del Torso, S. [Pediatra di Famiglia ULSS16, Padua, Italy]
Hadjipanayis, A. [Paediatric Department, Larnaca General Hospital, Larnaca, Cyprus]
Biver, A. [Clinique Pédiatrique, Centre Hospitalier Luxembourg, Luxembourg]
Jaeger-Roman, E. [Paediatric Primary Care Office, Berlin, Germany]
Wettergren, B. [Child and Adolescent Public Health, Uppsala, Sweden]
Nicholson, A. [Children's University Hospital, Dublin, Ireland]
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 mailto [University of Luxembourg > Luxembourg Centre for Systems Biomedicine (LCSB) >]
Eigenmann, A. K. [> >]
Einberg, Ü. [> >]
Ghenev, E. [> >]
Hamilton, P. [> >]
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. [> >]
Archives of Disease in Childhood
Yes (verified by ORBilu)
[en] Europe ; Adolescent ; Child ; Child Health Services ; Child, Preschool ; Delivery of Health Care ; Education, Medical, Graduate ; Europe ; Health Care Surveys ; Health Services Research ; Humans ; Infant ; Infant, Newborn ; Pediatrics ; Primary Health Care
[en] 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.

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