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dc.contributor.authorVan Esso, Diego L.
dc.contributor.authorDel Torso, Stefano
dc.contributor.authorHadjipanayis, Adamos
dc.contributor.authorBiver, Armand
dc.contributor.authorJaeger-Roman, Elke
dc.contributor.authorWettergren, Björn
dc.contributor.authorNicholson, Alf J.
dc.contributor.authorZach, Maximilian S.
dc.contributor.authorHamilton, Paige
dc.contributor.authorTenore, Alfred
dc.contributor.authorRamet, Joseph
dc.contributor.authorCraft, Alan William
dc.contributor.authorPulido, M.
dc.contributor.authorAzevedo, I.
dc.contributor.authorBarak, Shimon
dc.contributor.authorBarillari, A.
dc.contributor.authorBovet, F.
dc.contributor.authorChybicka, Alicja
dc.contributor.authorDe Beaufort, Carine E.
dc.contributor.authorEigenmann, Anne K.
dc.contributor.authorEinberg, Ülle
dc.contributor.authorEinberg, Ülle
dc.contributor.authorGhenev, Evghenii D.
dc.contributor.authorHamilton, P. A.
dc.contributor.authorHardarson, Hordur S.
dc.contributor.authorKadar, F.
dc.contributor.authorKubatova, G.
dc.contributor.authorLanka, I.
dc.contributor.authorLounamaa, Raisa
dc.contributor.authorMimouni, Francis Benjamin
dc.contributor.authorPrcúchová, Kvetoslava
dc.contributor.authorPrieler, Albrecht
dc.contributor.authorRubel, F.
dc.contributor.authorRudzeviciene, Odilija
dc.contributor.authorSedlak, W.
dc.contributor.authorZupancic, M. S.
dc.contributor.authorSiebke, Elisabeth
dc.contributor.authorSimovicova, K.
dc.contributor.authorSkovby, F.
dc.contributor.authorSolomou, M.
dc.contributor.authorStefanidis, D.
dc.contributor.authorSzitányi, Natália
dc.contributor.authorVerloove- Vanhorick, SP Pauline
dc.creatorVan Esso D.
dc.description.abstractBackground: 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.
dc.relation.ispartofArchives of Disease in Childhood
dc.titlePaediatric primary care in Europe: Variation between countries
elsevier.coverdisplaydateOctober 2010

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