PACK Child: the development of a practical guide to extend the scope of integrated primary care for children and young adolescents.

PACK Child: the development of a practical guide to extend the scope of integrated primary care for children and young adolescents.
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DOI:
10.1136/bmjgh-2018-000957
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发表时间:
2018
期刊:
影响因子:
8.1
通讯作者:
Cornick R
Cornick R
中科院分区:
医学2区
文献类型:
--
作者:
Picken S;Hannington J;Fairall L;Doherty T;Bateman E;Richards M;Wattrus C;Cornick R

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世卫组织儿童疾病综合管理等开创性战略在解决婴儿和儿童死亡率方面取得了实质性进展。然而,在世界不同区域,在获得保健和提供保健的质量方面存在着很大的不平等。在许多低收入和中等收入国家,儿童死亡率仍然是一个主要问题,儿童的需要给初级保健服务带来很大负担。所提供的服务能力和护理质量需要更多的支持,以满足这些需求,并扩大综合治疗和预防保健,特别是为健康儿童、有长期保健需要的儿童和目前未列入儿童疾病综合管理的5岁以上儿童。为了满足这些需求,我们根据在成人中采用类似方法的经验,开发了一种创新方法,扩大了儿科初级保健综合管理和培训方案的范围和范围。本文描述了PACK儿童临床决策支持工具的发展和主要特点,用于照顾13岁以下的儿童,以及在其发展过程中吸取的教训。
Pioneering strategies like WHO’s Integrated Management of Childhood Illness (IMCI) have resulted in substantial progress in addressing infant and child mortality. However, large inequalities exist in access to and the quality of care provided in different regions of the world. In many low-income and middle-income countries, childhood mortality remains a major concern, and the needs of children present a large burden upon primary care services. The capacity of services and quality of care offered require greater support to address these needs and extend integrated curative and preventive care, specifically, for the well child, the child with a long-term health need and the child older than 5 years, not currently included in IMCI. In response to these needs, we have developed an innovative method, based on experience with a similar approach in adults, that expands the scope and reach of integrated management and training programmes for paediatric primary care. This paper describes the development and key features of the PACK Child clinical decision support tool for the care of children up to 13 years, and lessons learnt during its development.
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