2017
DOI: 10.1136/bmjopen-2017-016423
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Triage in preventive child healthcare: a prospective cohort study of care use and referral rates for children at risk

Abstract: ObjectivesA novel triage approach to routine assessments was introduced to improve the efficiency of Preventive Child Healthcare (PCH): PCH assistants carried out pre-assessments of all children and sent the children with suspected health problems to follow-up assessments conducted by a physician or nurse. This two-step approach differed from the usual approach, in which physicians or nurses assessed all children. This study was aimed to examine the impact of triage and task shifting on care for children at ri… Show more

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Cited by 5 publications
(3 citation statements)
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“…In the European Union, children and adolescents' access to primary healthcare services depends on the country. Literature shows that most preventive public healthcare programs for children and young people consist of a general physical and psychosocial examination, systematic screenings in asymptomatic children, immunization and health education (Bezem et al., 2014, 2017; Wieske et al., 2012; Wood et al., 2012), where nurses are part of the primary healthcare teams. The studies performed in Europe (Berlin et al., 2006, 2008; Isma et al., 2012, 2013; Soriano Faura et al., 2016) were conducted in Sweden and one in Spain.…”
Section: Discussionmentioning
confidence: 99%
“…In the European Union, children and adolescents' access to primary healthcare services depends on the country. Literature shows that most preventive public healthcare programs for children and young people consist of a general physical and psychosocial examination, systematic screenings in asymptomatic children, immunization and health education (Bezem et al., 2014, 2017; Wieske et al., 2012; Wood et al., 2012), where nurses are part of the primary healthcare teams. The studies performed in Europe (Berlin et al., 2006, 2008; Isma et al., 2012, 2013; Soriano Faura et al., 2016) were conducted in Sweden and one in Spain.…”
Section: Discussionmentioning
confidence: 99%
“…The contribution of education professionals in accordance with ethical rules could also be more formalized. This needs to be properly assessed, however, and can only work through close collaboration between education professionals and primary care professionals ( 33 , 34 ). A targeted medical examination for children detected by initial screening could be proposed based on “proportionate universalism” ( 35 ).…”
Section: Discussionmentioning
confidence: 99%
“…The professional also provides vaccinations, in line with the national protocol [13]. At school age, there is a standardized two-steps screening procedure, with as first step a pre-assessments of all children (including a questionnaire, parent form or > 12 self-report form) carried out by a PCH assistant and as second step only inviting children at risk of health or developmental problems based on findings of the first step (< 12 years with parents) for a physical assessment and/or health interview by a CHP [11,14].…”
Section: Procedures and Measuresmentioning
confidence: 99%