Index

Issues and Opportunities in Primary Health Care for Children in Europe

ISBN: 978-1-78973-354-9, eISBN: 978-1-78973-351-8

Publication date: 6 May 2019

This content is currently only available as a PDF

Citation

(2019), "Index", Blair, M., Rigby, M. and Alexander, D. (Ed.) Issues and Opportunities in Primary Health Care for Children in Europe, Emerald Publishing Limited, Leeds, pp. 393-410. https://doi.org/10.1108/978-1-78973-351-820191021

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Emerald Publishing Limited

Copyright © 2019 European Commission

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This chapter is published under the Creative Commons Attribution (CC BY 4.0) licence. Anyone may reproduce, distribute, translate and create derivative works of this chapter (for both commercial and non-commercial purposes), subject to full attribution to the original publication and authors. The full terms of this licence may be seen at http://creativecommons.org/licences/by/4.0/legalcode


INDEX

Access
, 220–221, 223, 325–326

to care
, 202–205, 212–214, 350

for children and young people
, 305–306

compensation for costs associated with care
, 326

equity of access to supports
, 326

funding and equity of
, 323–324, 325

to health care
, 241

information provision for support to parents
, 325–326

to mental and sexual and reproductive health care
, 241–243

Accessibility
, 63–64, 238, 308, 310–311

Acquired brain injury (ABI)
, 324

Actors
, 68–69

Acute–community interface
, 200–201

Adolescent health medicine
, 266

CME
, 271–272

effective model
, 386–387

within European countries
, 267

postgraduate curricula
, 271

quality of adolescent primary care and amount and content of training
, 272

training in
, 266–272

under-and postgraduate training in field of adolescent medicine
, 267–270

undergraduate curricula
, 271

See also Child health

Adolescent primary care

and amount and content of training
, 272

services
, 239–240

Adolescent-friendly health service
, 232, 238–239

Adolescent-friendly health services and care (AFHSC)
, 239–240

Adolescents
, 221, 238

access to health care
, 241

access to mental health care and sexual and reproductive health care
, 241–243

early recognition of mental health problems in
, 335

rights and ethical issues
, 240–243

Adverse childhood experiences (ACEs)
, 263

Affiliate contributors to primary care for children

community pharmacy to primary care contribution
, 304–309

dental services to primary care contribution
, 310–315

dentistry
, 327

interface of social care services with primary care
, 315–326

pharmacy
, 327

social care services
, 327–328

Age

age-related measures analysis
, 145–147

at diagnosis of autism
, 108

international databases
, 145–146

at operation for cryptorchidism
, 108

responses by MOCHA country agents
, 146–147

Agent(s)

for child
, 85–87, 322

of proximal environment
, 85–86

of wider environment
, 86–87

Agoge
, 78–79

Alma-Ata, Declaration of (1978)
, 4, 90

Ambulatory-sensitive conditions
, 108, 175–176

American Academy of Paediatricians
, 228

Appraisal frameworks
, 38–39

conceptual general health framework dimensions
, 32–34

identifying
, 30–38

practical application
, 40–41

primary health care conceptual framework dimensions
, 35–37

Appraisal of right to health
, 89–90

Apps, use of
, 73, 296–297, 299

Association of Hungarian primary care paediatricians
, 70–71

Asthma
, 73

Attention deficit hyperactivity disorder (ADHD)
, 72, 211

care provided to children with
, 215–216

Attitudes
, 349

to abuse from perspective of contextual determinants
, 353–355

Autism
, 72

age at diagnosis
, 108

Autism spectrum disorder (ASD)
, 211

care provided to children with
, 215–216

Autonomy

of choice
, 73

parent’s opinions and experiences on children’s
, 61–64

Awareness
, 349, 354–355

of child abuse
, 354

of risk factors
, 355

Behaviour(al)

change
, 340–341

episodes
, 353

problems
, 353–354

Bronfenbrenner’s ecological model of determinants of health
, 39–40

Bronfenbrenner’s theory
, 80–83

Bullying
, 70–71

Business process analysis
, 200–201, 211

Care

of children in hospital
, 64–67

structure, processes and outcome of care delivery
, 332

Categorisations
, 105

Central Intelligence Agency (CIA)
, 140–142

Child centric(ity)
, 39, 56, 77–78, 80–87, 90, 160, 306–307, 320, 373–375

Child Guarantee proposal
, 114

Child health
, 2, 260–261

CIA
, 140–142

equity for
, 103–104

Eurostat
, 135–137

evidence usage in child health policy making
, 367

global burden of disease results tool
, 137–139

health behaviour in school-aged children data portal
, 134–135

indicators
, 131–143

issues
, 67–68

OECD
, 142–143

outcome indicators in MOCHA
, 180–181

policy
, 346, 350–351

WHO health for all explorer
, 131–143

World Bank Open Data and DataBank
, 139–140

See also Adolescent health medicine

Child Health Indicators of Life and Development Project (CHILD Project)
, 39–40, 131, 160, 378

Child primary care. See Primary care for children

Child Public Health EHR System
, 161

Child(ren)
, 57, 130, 221, 232, 277, 305–306, 308–309, 312–313

abuse
, 64–67, 325

as actor in health care
, 80–87

age-related measures analysis
, 145–147

agent for
, 85–87

analysis of disease-related measures
, 147–149

autonomy of choice
, 73

as central actor in process of shaping child health policy
, 86

centricity
, 77–78

changing concept
, 78–80

child-centric health policy
, 84, 85

child-centric paradigm
, 80–87

child-friendly health service
, 232

children and adolescents in national e-health strategies in Europe
, 126

with complex care needs in community
, 72

EHRs for children in primary care
, 285–286

empowerment
, 57

ethical means of listening to
, 377–378

evolving autonomy
, 381

existence of national child and adolescent health strategies
, 122–125

health in Europe
, 3–4

identification of children’s interests in e-health strategies
, 125–126

interest identification in e-health strategies
, 125–126

invisibility in quality measures
, 144–149

listening to
, 56

with long-term condition
, 73

with long-term mental health needs in community
, 72

material deprivation
, 169–170

MOCHA analysis
, 144–145

MOCHA country agent questions about
, 71–73

morbidity
, 3–4

mortality
, 181

number
, 59

obesity
, 64–67, 71

parent’s opinions and experiences on children’s autonomy
, 61–64

poverty
, 101, 261

prevention-orientated primary health care
, 389

protection
, 72–73, 325

relative income poverty rate
, 169

remedying invisibility in data
, 378–379

in socio-cultural context
, 78–80

in state care system
, 112–113

Children’s primary health care

correlation between measures belonging to same category
, 162

countries coordination level
, 163–166

e-coordination
, 166–167

framework for child healthcare system appraisal
, 160–167

identification of measures related to category
, 161

model identification
, 385

SEM approach applied to MOCHA
, 167–171

service quality measurement
, 171–175

tracer conditions
, 175–176

transformation of measures into scores
, 161–162

Children’s rights

appraisal of right to health
, 89–90

core concepts
, 87–88

to health
, 87–90

Ombudsman for
, 87

United Nations Convention on
, 89, 156, 315, 376, 378

timeline of increasing awareness and respect for
, 81–83

Children’s Specialist Examination
, 325

CIA
, 140–142

Co-creation of care
, 202, 206–207

Commission Directives
, 89

Committee on Adolescence
, 240–241

Communication
, 70, 238

channels
, 68

and knowledge
, 263

and management
, 259

and relationships with health care professionals
, 59–61

skills
, 271

Community paediatricians
, 248–251

Community pharmacy
, 304, 308

MOCHA survey into pharmacy use
, 305–308

to primary care
, 304–309

themes of pharmacy use by children and young people
, 308–309

Complex care needs (CCNs)
, 200, 273

access to care
, 202

business process analysis
, 200–201

co-creation of care
, 202

data integration
, 200–201

experience of child and family
, 200–201

integrated governance of care
, 202

long-term ventilation (LTV)
, 201

nursing practice
, 200

principles and standards of care
, 201–202

referral-discharge interface
, 200

services and boundary negotiations for children with complex mental health need
, 202–216

social care interface
, 200

traumatic brain injury (TBI)
, 201

validated principles and standards of care for children living with
, 201–202

Complex mental health needs

access to care
, 212–214

children with
, 202–216

methods
, 202–211

multidisciplinary teams
, 215–216

parental involvement
, 214–215

themes influencing care for children
, 211

See also Mental health

Comprehensiveness
, 220–221

comprehensive care
, 4

comprehensive policy
, 223

Confidentiality
, 64, 240–241

Context

of child primary care
, 64–67

economic
, 169–170, 373

environmental
, 39, 57

European community
, 376

family
, 57

preventive care
, 57

societal
, 39, 373–376

socio-cultural
, 7, 78–80

Contextual

change
, 349

determinants
, 353–355

factors
, 38

Continuing medical education (CME)
, 271–272

Convention on Rights of Child (CRC)
, 238

Coordination
, 220–221

category
, 161, 162

child protection
, 325

flexible support
, 323–324

of social care and primary care services
, 322–325

Corruption
, 353

Countries coordination level
, 163–166

countries distribution by e-coordination strength
, 165

national expenditure on ‘governance and health system administration’
, 166

Country agents (CAs)
, 8–10, 72, 73, 144–145, 148–149, 201–211, 220–221, 348–349, 391

comparison between international databases and coverage
, 175

data collection
, 9–10

identification
, 8

questionnaire
, 174–175

working process and project timetable
, 8–9

Cross-case research design
, 337

Cross-nationality
, 352

Cryptorchidism, age at operation for
, 108

Cultural/culture
, 57, 78, 346

aspects
, 364–368

attitudes to abuse from perspective of contextual determinants
, 353–355

European values study
, 346–347

public opinion and drivers
, 347–353

Cyberbullying
, 70–71

Cynefin model on complexity
, 339

Data systems, children invisibility in

children invisibility in quality measures
, 144–149

counting and understanding infants, children and adolescents
, 130

data sources
, 143–144

databases available and including child health indicators
, 131–143

quality measures key points
, 149–151

registration data
, 130–144

seeking children’s data in records-based research databases
, 151–155

Databases in child health indicators
, 131–143

Declaration of Alma-Ata (1978)
, 4

Declaration of the Rights of the Child
, 81–83

Dental services contribution to primary care
, 310–315

accessibility
, 310–311

economics
, 313–315

preventive care
, 311–313

Dentistry
, 310, 327

Depression
, 102, 241–243

Development, Mental Health and Trauma
, 263

DG CONNECT
, 379

DG Employment, Social Affairs and Inclusion (2018)
, 377

DIPEx International network
, 58, 200–201

Diphtheria, Tetanus and Pertussis vaccine (DTP vaccine)
, 168

Disability-adjusted life years (DALYs)
, 137–138

Discretionary Medical Card
, 68

Disease-related measures analysis

international databases
, 147–148

responses by country agents
, 148–149

Distal environment
, 85, 368

DTP 1 immunisation
, 171

e-Health

children’s interests identification in
, 125–126

current limited evidence and knowledge base
, 284

EHRs for children in primary care
, 285–286

as enabler of primary care for children
, 284

external collaboration
, 298–299

media
, 295–297

practical and operational record linkage
, 289–295

records
, 161

standards and evaluation
, 379–380

systems
, 336–337

unique identifiers and record linkage
, 287–289

EC Horizon 2020
, 6

Economic(s)
, 313–315

analysis
, 180

conditions
, 186, 220–221

context
, 169–170, 373

of investing in children’s health
, 379

skill set evaluation
, 388

Education(al)

attainment and occupational social class
, 101

films
, 70–71

and guidance
, 248

institution
, 220

system
, 238

and Training
, 376

Electronic Health Data Exchange
, 289

Electronic health record (EHR)
, 125, 284, 285

Child Public Health EHRs in Europe
, 286

for children in primary care
, 285–286

functionality and data exchange
, 286

Electronic record

and data to supporting safe and efficient models
, 388

systems
, 287–289

Environment
, 336

cultural
, 2–3

distal
, 85, 368

economic
, 2–3

financial
, 152–155

natural
, 2

physical
, 2–3, 61, 373

proximal
, 85–86

Environmental pollution
, 71

Equity
, 31, 100, 223

of access
, 326

for child health
, 103–104

early childhood
, 101–102

ensuring for all children in all models
, 388

future directions
, 114–115

in health
, 100–101

health inequalities effects on child health
, 102–103

and levers
, 333

of provision for young people
, 72

relationship of equity indicators and model types
, 109–110

rights and
, 380–381

vulnerable populations
, 110–113

See also Inequity

Estonia (cross-ministerial involvement in strategic planning)
, 124–125

Estonian Social Insurance Board
, 325–326

Europe

addressing child health inequity in primacy care health systems
, 113–114

children’s health in
, 3–4

European Academy of Paediatrics (EAP)
, 251–259, 267

European Centre for Disease Control (ECDC)
, 298, 379–380

European Child Public Health Observatory network
, 379

European Commission Expert Group on Health Systems Performance
, 372

European Confederation of Primary Care Paediatricians (ECPCP)
, 260–261

European Convention on Human Rights
, 81–83

European Economic Area (EEA)
, 56, 110, 130, 200, 260, 304

European Health Examination Survey
, 378

European Health Interview & Health Examination Surveys Database website
, 378

European Skills/Competences, Qualifications and Occupations (ESCO)
, 377

European Social Charter
, 81–83

European Union (EU)
, 56, 100, 124, 130, 200, 260, 304, 332

adolescent medicine and health within
, 267

to boost primary care for children
, 377–381

directives
, 90

EU Public Health principle
, 360–361

health workforce
, 272

solidarity
, 382

European Union Agency for Fundamental Rights
, 316, 325

European Union Medical Specialties (EUMS)
, 260–261

European Values Study (EVS)
, 346–347

Eurostat (statistics database)
, 130, 135–137, 143–144, 376

Evaluation
, 379–380

of childcare
, 144, 172

economic
, 37

healthcare
, 160

Institute for Health Metrics and
, 137

of levers
, 30

of paediatric care
, 172

of quality of child care
, 167, 172, 173

skill set
, 37, 388

Expert Panel on Effective Ways of Investing in Health
, 15–16

Family medicine (FM)
, 4, 5

Financial

classifications
, 15–16

environment and spending
, 152–155

levers
, 339–340

national data on health expenditure and financing
, 153–155

provision classification
, 16–29, 109–110

First-contact care
, 4

Foreign-born children
, 105

Foreign-born parents
, 105

Free professional non-hierarchical model
, 16

Fundamental Rights Agency
, 316, 376

Funding
, 15–16

and equity of access
, 325

Gaming
, 332

Gatekeeper

and GP-led countries
, 332

and mixed-led countries
, 332

General practitioner (GP)
, 3, 15, 103–104, 182, 248, 332–333

GP/Family doctor-led model
, 15

Geneva Declaration of the Rights of the Child
, 79, 80

Germany

cross-ministerial involvement in strategic planning
, 124–125

quality aspect in
, 365–366

Gini coefficient
, 169, 261

Global Burden of Disease (GBD)
, 130, 137–139, 143–144

Global processes and movements
, 352

Globalisation
, 352

Good practices, expert views on implementation of
, 337–339

availability and use of guidelines and formal procedures
, 338

barriers and facilitators of implementation
, 338–339

Governance
, 30, 220–221

of primary care system
, 186

Greek Country Agent
, 100, 366–367

Hausman test
, 184

Health

children’s rights to
, 87

equity in
, 100–101

health-promoting school
, 233

indicators through World Bank Open Data database
, 141–142

inequalities
, 31, 102–103

outcome
, 31

services
, 2–3

Health Behaviour in School-Aged Children Study (HBSC Study)
, 130, 131, 134–135, 351–352, 354–355

Health care
, 238–239

child as actor in
, 80–87

organisation
, 220

professionals
, 5, 59–61, 251–259

providers
, 220, 233

quality
, 171–172

services
, 220

utilisation
, 103–104

of vulnerable children, undergraduate courses
, 263

workforce
, 248, 273

Health Experiences Research Group (HERG)
, 58–59

Health for All database (HFA database)
, 130, 131

WHO
, 131–143

Health Insurance Fund
, 314

Health policy

child-centric
, 84–85

planning for children’s services, issues in
, 124–125

and provision in European community context
, 376

Healthcare system
, 167, 238

factors
, 182

variables
, 195

Helplines
, 73

HL7 Foundation
, 298–299, 379–380

Home-based records
, 379–380

of children’s health
, 73

HON Code
, 296

Horizon 2020 scheme
, 360–361

Housing tenure, lack of
, 101

Human and technical resources (HRes)
, 131–132

Human Rights

European Convention on
, 81–83

Universal Declaration of
, 81–83, 89

Immunisation
, 339

coverage
, 168

Immunisation Information System (IIS)
, 298

Incentives
, 30, 41, 182–184, 334

Inequity
, 100–101

in access to health care
, 101

Europe addressing child health inequity in primacy care health systems
, 113–114

primary care and contribution to addressing health
, 103–106

quality indicators of primary and evidence
, 106–109

See also Equity

Infants
, 130

vaccination coverage in
, 334

Information
, 68, 70–71

provision for support to parents
, 325–326

Institute for Health Metrics and Evaluation (IHME)
, 137

International Covenant on Civil and Political Rights
, 81–83

International Covenant on Economic, Social and Cultural Rights
, 81–83

International databases
, 173–174

comparison between country agents coverage and
, 175

International Federation of Medical Student Associations (IFMSA)
, 260–261

International Save the Children Union (UISE)
, 79

International variability in healthcare expenditures
, 251

Intertwining of health, economy and society

economic context
, 373

health policy and provision in European community context
, 376

societal context
, 373–376

Intractable epilepsy
, 201

Irish Pharmacy Union
, 307

ISTISAN Report
, 71

Justice, procedural
, 340–341

Kendall’s correlation matrix
, 165

Lead

clinician
, 15

practitioner
, 109

practitioner
, 15

Leadership
, 30

of children’s policies
, 123

Levers, behavioural
, 341

Listening

ethical means to children
, 377–378

to professional stakeholders
, 334–337

Listening to young people
, 56

changing attitudes to
, 56–57

communication and relationships with health care professionals
, 59–61

data collection
, 58–59

involvement and participation in care
, 60–61

MOCHA country agent questions about children
, 71–73

parent’s opinions and experiences on children’s autonomy
, 61–64

qualitative inquiry into children’s experiences
, 58

societal reactions
, 64–71

views and experiences
, 58–61

Long-term ventilation (LTV)
, 201

Looked-after children (LAC)
, 262

Measles-containing vaccine (MCV)
, 106

Media
, 87

campaigns
, 69

digital
, 349

e-health
, 295–297

social
, 70

traditional
, 70

Mental health
, 353–354

care
, 241–243

screening for
, 339

and self-harm
, 239

Mental healthcare services
, 123

Migrant children
, 355

entitlements to health care
, 110–112

Ministerial convention declarations
, 90

Ministry of Health (MoH)
, 87, 123

MOCHA analysis
, 172–175

comparison between international databases and country agents coverage
, 175

country agents questionnaire
, 174–175

international databases
, 173–174

measurement classification
, 173, 174

PREMs and PROMs
, 175

MOCHA countries
, 180

analysis
, 184

child health outcome indicators
, 180–181

description of dependent and independent variables
, 187–188

descriptive statistics of quantitative variables
, 189

explanatory variables
, 181–184

financing and service delivery classifications
, 183

findings
, 184–195

GDP per capita
, 195

methods
, 180

PHAMEU scoring system
, 185–186

results of regression modelling
, 192–193

values of quantitative variables by country
, 190–191

MOCHA External Advisory Board
, 390

MOCHA International Research Opportunity Instrument tool (MIROI tool)
, 41, 151

MOCHA Scientists

dissemination
, 389

economic and skill set evaluation and analysis of models
, 388

effective models of school health services and adolescent health services
, 386–387

electronic records and data
, 388

ensuring equity for all children in all models
, 388

identification and application of innovative measures of quality and outcome
, 387

identification and derivatives uses of large data sets and systems
, 387

identification of children’s primary health care models
, 385

interfaces of primary health care model with secondary, social and complex care
, 385–386

MOCHA External Advisory Board
, 390

project management
, 390

validated optimal models of children’s prevention-orientated primary health care
, 389

MOCHA survey into pharmacy use
, 305–308

increasing access for children and young people
, 305–306

quality of pharmacy services
, 306–308

Models of Child Health Appraised project (MOCHA project)
, 2, 14, 56, 100, 122, 125, 130, 142, 144–145, 160, 172, 196, 220, 238, 248, 284, 304, 332, 333, 346, 347, 351–352, 353–354, 360, 361, 364–366, 372, 373, 377, 379–380

aims
, 6–7

adapting frameworks for
, 38–40

background and origins
, 2–5

changing epidemiology
, 4

children’s health in Europe
, 3–4

coordination and WP interaction
, 10

country agent questions about children
, 71–73

country agents
, 8–10

data analyses
, 10

instruments
, 89–90

integration
, 11

investigation
, 355

life stage of child and
, 48–49

mapping of models of provision in
, 17–29

PC and scope
, 4–5

primary child health care in
, 5–6

in public consultation
, 375

research
, 77–78, 85, 89

stakeholder survey
, 367–368

structural equation modelling approach applied to MOCHA
, 167–171

structure and operation
, 7–8

structure of model in terms of
, 42–44

team
, 284

working model
, 40

Mortality

causes of
, 138

indicators
, 181, 195

Mortality Indicator dataset (MDB)
, 131–132

National Association of Pharmacies
, 307–308

National child and adolescent health strategies
, 122–125

issues in health policy planning for children’s services
, 124–125

ownership and leadership of children’s policies
, 123

relationship between national policy planning and provider planning
, 123–124

National health

and educational authorities
, 222–223

insurance fund
, 124

service-based systems
, 109–110

National policy planning
, 123–124

National Research Council and Institute of Medicine
, 240–241

Neo-liberalism
, 339

Neonatal intensive care
, 378

Neonatal mortality
, 194

Netherlands, quality aspect in
, 365–366

Non-communicable diseases
, 130

Non-governmental organisations (NGOs)
, 68, 86, 87

Non-profit institutions serving households (NPISH)
, 155

Nurses
, 5, 248

for emerging models of care
, 276–277

training and skills
, 274, 275

Nursing
, 5

education
, 271

roles
, 273

Nursing workforce
, 272–277

need for specialised knowledge
, 274

preparing nurses for emerging models of care
, 276–277

Obesity
, 102

Ombudsman for Children
, 70–71

rights
, 87

Optimal model

children’s prevention-orientated primary health care
, 389

for children’s primary health care
, 382

Organisation for Economic Co-operation and Development (OECD)
, 142–143, 351–352

Out-of-home care (OHC)
, 112

See also Primary care (PC)

Paediatric and social setting

child health providers
, 266

qualifications of doctor to deal with cases in
, 263–266

Paediatric Nursing Association of Europe
, 274

Paediatrician-led model
, 15

Paracelsus NGO
, 68–69

Parent’s opinions and experiences on children’s autonomy
, 61–64

accessibility
, 63–64

confidentiality
, 64

empowerment
, 64

identity
, 323–324

Patient-reported Experience Measures (PREMs)
, 172, 175

Patient-reported Outcome Measures (PROMs)
, 172, 175

Penalties
, 333, 339–341

Perinatal health
, 378

PHAMEU
, 39, 184, 185–186, 220–221, 379

Pharmaceutical Group of European Union (PGEU)
, 327

Pharmaceutical Society of Ireland
, 307

Pharmacy
, 243, 327

MOCHA survey into
, 305–308

quality
, 306–308

services
, 304

themes by children and young people
, 308–309

Policy
, 310

child-centric Health
, 84, 85

child health
, 85, 86, 350–351, 352

evidence-informed
, 382

health
, 364, 376

obesity prevention
, 86

primary care
, 56

Poland, quality aspect in
, 365–366

Population characteristics, intervention content, environment and transfer–transferability process model (PIET-T process model)
, 333, 335–336, 360, 361, 368

format of recommendations
, 369

Postgraduate
, 260–261

curricula
, 271

training in field of adolescent medicine and health
, 267–270

Practical and operational record linkage
, 289–295

communication in other direction
, 296

linked record between primary care services
, 295

organisational linkages electronic record data sharing
, 290

policy for record
, 297

pupil sustains injury in school
, 297

types of electronic health data exchanged
, 291–292

Preferences fOr Child Health Care Assessed questionnaire (POCHA questionnaire)
, 61, 363

Preventive care
, 106, 248, 311–313

Primacy care health systems, child health inequity in
, 113–114

Primary care (PC)
, 2, 6, 130, 180, 248, 254–255, 273

in child centred ecological model and MOCHA
, 45–47

for children
, 304

community pharmacy to
, 304–309

comprehensiveness of care
, 186

continuity of care
, 186

and contribution to addressing health inequity
, 103–106

coordination of care
, 186

dental service contribution to
, 310–315

economic conditions of
, 186

EHRs for children in
, 285–286

in EU countries
, 332–333

governance of
, 186

health services
, 2

paediatricians
, 5

on population health
, 30–31

primary care-based system
, 248–251

providers
, 216, 287

quality indicator
, 196

quality measurEMENT
, 379

and scope
, 4–5

services
, 228, 238, 322–325

social care services interface with
, 315–326

strength
, 194

systems
, 15

teams
, 5

training in
, 251–259

values
, 14

workforce development
, 186

Primary care for adolescents

adolescent primary care services
, 239–240

adolescents’ rights and ethical issues
, 240–243

methods
, 239

Primary care for children
, 375

children’s evolving autonomy
, 381

collaborative and harmonised use of downloaded research databases
, 380

e-Heath standards and evaluation
, 379–380

economics of investing in children’s health
, 379

ethical means of listening to children
, 377–378

measuring primary care quality
, 379

optimal human resources
, 377

remedying invisibility of children in data
, 378–379

rights and equity
, 380–381

Primary care model
, 14–29

financial classifications
, 15–16

lead practitioner classifications
, 15

regulatory, financial and service provision classifications
, 16–29

Primary care workforce
, 248–251

configurations
, 273–274

country agent responses to questions on training of workforce
, 256–258

density of paediatricians by MOCHA typology
, 251

healthcare expenditure and workforce data for MOCHA
, 249–250

workforce sent to country agents
, 252–253

Primary child health care

in MOCHA
, 5–6

provision
, 14

Primary child health system
, 38

Primary health care (PHC)
, 4, 304, 323, 327

for children
, 361

co-location
, 321–322

conceptual framework behind assessment framework
, 320

experiences
, 363, 364

formal networks
, 322

informal networks or communication
, 322

integration between primary health care/social care
, 321

model with secondary, social and complex care
, 385–386

priorities
, 363–364

providers caring for adolescents
, 276–277

public experiences and priorities in
, 362–364

services
, 315

social care integration with
, 320–322

system
, 238

Primary Health Care Activity Monitor for Europe (PHAMEU)
, 39, 184, 185–186, 220–221, 379

Procedural Justice
, 340–341

Process Model for the Assessment of Transferability
, 362

Professional hierarchical gatekeeper model
, 16

Professional stakeholders, listening to
, 334–337

early recognition of mental health problems in adolescents
, 335

environment
, 336

feasibility, barriers and facilitators
, 335–336

intervention content
, 336–337

population characteristics
, 336

transfer
, 337

treatment and monitoring of chronic or complex condition
, 334–335

vaccination coverage in infants
, 334

Provision

of care
, 350

of health services
, 88

Proximal environment
, 85–86

Public

expression
, 68, 69

health EHR system
, 285

hierarchical normative model
, 16

involvement
, 124

outcry
, 87

perceptions
, 360

preference studies
, 10

voices
, 67–68

Public opinion and drivers
, 347–353

international determinants
, 351–352

situational aspects
, 352–353

socio-cultural factors
, 348–349

structural determinants
, 350–351

Quality

of adolescent primary care and amount and content of training
, 272

assurance
, 223

of care
, 131, 171–172

health care models
, 238–239

management infrastructure
, 233

of pharmacy services
, 306–308

Quality indicators of primary and evidence of inequity
, 106–109

findings
, 107–109

preventive care
, 106

Quality measures

children invisibility in
, 144–149

of healthcare system
, 171–175

Questionnaire
, 135

semi-structured
, 348

POCHA
, 61, 363

country agents
, 174–175

RäddaBarnenin Sweden
, 79

Random effects model
, 184–189

Recognition of Children’s Rights
, 87–88

Records-based research databases

financial environment and spending
, 152–155

seeking children’s data in
, 151–155

Record linkage
, 287–295

Regression modelling results
, 192–193

Regulatory provision classification
, 16–29, 109–110

Religion
, 349

Right of Child to Health
, 88

Right to Health
, 88

appraisal
, 89–90

core concepts of children’s
, 87–88

Rights

approaches
, 78–80

and equity
, 380–381

Rights of Child to Primary Care
, 90–95

Risk factors of inequity
, 104–106

family situation
, 104

gender
, 104

migrants/minorities
, 105–106

regional differences
, 106

SES
, 104–105

See also Inequity

School Health Service (SHS)
, 220, 272, 289, 293–294

collaboration
, 223–228

data management
, 232

discussion and implications
, 233

effective model of
, 386–387

equity and access
, 223

functions
, 222–232

governed and organised
, 222–223

implications and recommendations
, 233–234

indicators of access
, 224–227

indicators of workforce in
, 229–231

methods
, 220–222

quality assurance
, 223

services provided by
, 232

stakeholders’ involvement
, 232

tasks, roles and competence of SHS staff
, 228–231

Scottish Youth Parliament
, 125

Service provision classification
, 16–29, 109–110

Service quality measurement

MOCHA analysis
, 172–175

quality measures
, 171–172

Sexual and reproductive health
, 239

care
, 241–243

Social care
, 72–73, 327

legal basis for
, 316–320, 317–319

providers
, 216

Social care services
, 304, 315, 327–328

access and participation
, 325–326

coordination of social care and primary care services
, 322–325

integration of social care with primary health care
, 320–322

interface with primary care
, 315–326

legal basis for social care
, 316–320

Social inclusion
, 100, 376

Social media
, 70

Societal reactions
, 64–71

actions
, 69–70

actors
, 68–69

communication
, 70

information
, 70–71

Socio-cultural context

changing concept of child and history of rights approaches
, 78–80

child in
, 78–80

Socio-cultural factors
, 348–349

Socio-economic status (SES)
, 102, 104–105, 131, 263

Socioeconomic variables
, 180

Spain, quality aspect in
, 365–366

Specialised knowledge
, 275–276

distribution of child-related content
, 276

Spirometry
, 339

State care system, children in
, 112–113

Structural determinants
, 350–351

external structural determinants
, 350–351

internal structural determinants
, 350

Structural equation modelling (SEM)
, 10

applied to MOCHA
, 167–171

approach
, 167

economic context factor
, 169–170

example of SEM model applied to MOCHA dataset
, 168–171

immunisation coverage
, 168

mandatory vaccination
, 168–169

monitoring factor
, 170–171

Tracer conditions
, 41, 175–176, 201–202, 332

Transferability of primary child healthcare systems
, 332

expert views on implementation of good practices
, 337–339

listening to professional stakeholders
, 334–337

penalties, rewards and behaviour change
, 339–341

Transferability principles
, 360–362

Traumatic brain injury
, 201

Trends in International Mathematics and Science Study (TIMSS)
, 145–146

Trillium II project
, 298–299

UN Convention on Rights of Child (UNCRC)
, 80–83, 100

Undergraduate

curricula
, 271

training in field of adolescent medicine and health
, 267–270

Undergraduate (basic) medical training
, 259–266

European Medical Schools’ curricula analysed by MOCHA
, 262

mandatory courses related to health care of subgroups
, 264

preparing students for management of vulnerable children
, 263–266

representative countries
, 262

skills and qualifications to adequately treat
, 261

whole population approach
, 260

Undergraduate programmes in Bulgaria, Germany and Iceland
, 263–266

qualifications of doctor to deal with cases
, 263–266

skills and qualifications to overcome challenges
, 265

training in personal and interpersonal skills
, 263

undergraduate courses relating to health care of vulnerable children
, 263

Undocumented children
, 105–106

Unemployment of parents
, 102

Unified business modelling techniques (UML)
, 10

methodology
, 200–201

use of case diagram
, 213

Unique record identifier (URI)
, 287, 288

United Kingdom, quality aspect in
, 365–366

United Nations Children’s Fund (UNICEF)
, 238–239

United Nations Convention on Rights of Child
, 315

United Nations Educational, Scientific and Cultural Organization (UNESCO)
, 81–83

United Nations General Assembly (1990)
, 238

United Nations International Children’s Emergency Fund (UNICEF)
, 81–83

United Nations Population Fund (UNFPA)
, 238–239

Universal Declaration of Human Rights
, 81–83

Universal health coverage (UHC)
, 131

Vaccinations
, 107–108, 339

coverage in infants
, 334

Validated principles
, 201–202

access to care
, 202–205

co-creation of care
, 202, 206–207

effective integrated governance
, 202, 208–210

Violence
, 241–243

Viral gastroenteritis
, 106–107

Vulnerable adolescents
, 241

Vulnerable populations
, 110–113

children in state care system
, 112–113

migrant children’s entitlements to health care
, 110–112

Work packages (WPs)
, 7–8, 10

coordination and WP interaction
, 10

Workforce
, 182, 350

development
, 220–221

nursing workforce
, 272–277

primary care workforce
, 248–251

training in adolescent health medicine
, 266–272

training in primary care
, 251–259

undergraduate (basic) medical training
, 259–266

World Bank Open Data and DataBank
, 139–140

World Factbook
, 140–142

World Health Organization (WHO)
, 101–102, 131, 171–172, 222, 232, 238–239, 267, 272, 351–352, 353–354

HFA
, 131–143

World Health Organization Regional Office for Europe
, 89