Effective School Health Service: A Response to Adolescent Health Needs in Europe

Michaud, Pierre‐André; Namazova-Baranova, Leyla; Weber, Martin; Ambresin, Anne‐Emmanuelle

doi:10.1016/j.jpeds.2017.10.051

Cited by 8 publications

(6 citation statements)

References 19 publications

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“…For effective outcomes, medical and nursing students should be trained to deal concretely with clinical situations by means of interactive participative sessions, bedside teaching and observation, discussions of videos or testing their skills with simulated patients (Hardoff, S. Benita, & Ziv, 2008). Several documents have recently outlined how high-quality health care can be achieved for adolescents (Ambresin, Bennett, Patton, Sanci, & Sawyer, 2013;Michaud, Weber, Namazova-Baranova, & Ambresin, 2018;Nair et al, 2015;Sawyer, Ambresin, Bennett, & Patton, 2014;World Health Organization, 2016), and a recent publication of the World Health Organization suggests that there are several core elements of quality care pertaining specifically to adolescents, in which the healthcare providers' competencies play a pivotal role (World Health Organization, 2015b; .…”

Section: Training In Adolescent Health Medicinementioning

confidence: 99%

Workforce and Professional Education

Blair¹,

Gage²,

MacPepple³

et al. 2019

Issues and Opportunities in Primary Health Care for Children in Europe

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Given that the workforce constitutes a principal resource of primary care, appraisal of models of care requires thorough investigation of the health workforce in all Models of Child Health Appraised (MOCHA) countries. This chapter explores this in terms of workforce composition, remuneration, qualifications and training in relation to the needs of children and young people. We have focused on two principal disciplines of primary care; medicine and nursing, with a specific focus on training and skills to care for children in primary care, particularly those with complex care needs, adolescents and vulnerable groups. We found significant disparities in workforce provision and remuneration, in training curricula and in resultant skills of physicians and nurses in European Union and European Economic Area Countries. A lack of overarching standards and recognition of some of the specific needs of children reflected in training of physicians and nurses may lead to suboptimal care for children. There are, of course, many other professions that also contribute to primary care services for children, some of which are discussed in Chapter 15, but we have not had resources to study these to the same detail.

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Section: Training In Adolescent Health Medicinementioning

confidence: 99%

Workforce and Professional Education

Blair¹,

Gage²,

MacPepple³

et al. 2019

Issues and Opportunities in Primary Health Care for Children in Europe

Self Cite

View full text Add to dashboard Cite

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“…One solution to this problem could be school-based health centers that can advance health equity [ 3 ]. Large-scale interventions by school health services may be more cost-effective than individual screening procedures [ 4 , 5 ]. The interventions should focus on the individual, family, and community [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Associations between study questionnaire-assessed need and school doctor-evaluated benefit of routine health checks: an observational study

et al. 2021

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Background In Finland, school doctors examine all children at predetermined ages in addition to annual health checks by school nurses. This study explored the association of study questionnaire-assessed need for and school doctor-evaluated benefit of routine health checks conducted by doctors. Methods Between August 2017 and August 2018, we recruited a random sample of 1341 children in grades 1 and 5 (aged seven and eleven years, respectively) from 21 elementary schools in four Finnish municipalities. Children mainly studying in special education groups or whose parents needed an interpreter were excluded. School nurses performed their health check as usual. Parents, nurses, and teachers then completed study questionnaires that assessed the concerns of parents, school nurses, and teachers regarding each child’s physical, mental and social health. Doctors, blinded to the responses, routinely examined all the children. The primary outcome measures were (1) the need for a health check based on the study questionnaires and (2) the benefit/harm of the appointment as estimated by the doctors according to predetermined criteria, and (3) the patient-reported experience measures (PREMs) of benefit/harm of the appointment as estimated by the parents and children. We compared the need for a health check with the doctor-evaluated benefit using multilevel logistic regression. Results The participation rate was 75.5 %. According to all questionnaires, 20–25 % of the 1013 children had no need for a health check. The doctors regarded 410 (40.6 %) and the parents 812 (83.4 %) of the appointments as being beneficial. Respondents rarely reported harm. The children who were classified as needing a health check more often benefitted from the health check (assessed by the doctor) than children with no need for one (OR 3.53; 95 % CI 2.41–5.17). Conclusions The need for a health check is an important predictor of school-doctor evaluated benefit of the health check. This approach could allow school doctors to allocate time for the children who need them most. Trial registration ClinicalTrials.gov, Identifier NCT03178331, registration June 6th 2017.

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“…There are models of quality health care available for adolescents Michaud, Weber, Namazova-Baranova, & Ambresin, 2018;World Health Organization, 2014;World Health Organization, 2015a;World Health Organization, 2015b;World Health Organization, 2015c), most of which refer to the concept of adolescent/youth-friendly health services and care jointly developed by the World Health Organization (WHO), United Nations Children's Fund (UNICEF) and United Nations Population Fund (UNFPA). These models have also been validated by young people themselves (Ambresin, Bennett, Patton, Sanci, & Sawyer, 2013), as a result of surveys about the main ingredients of fair and high-quality health services and care.…”

Section: Introductionmentioning

confidence: 99%

Primary Care for Adolescents

Michaud¹,

Vervoort²,

Jansen³

2019

Issues and Opportunities in Primary Health Care for Children in Europe

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Adolescence is a time when a young person develops his or her identity, acquires greater autonomy and independence, experiments and takes risks and grows mentally and physically. To successfully navigate these changes, an accessible and health system when needed is essential. We assessed the structure and content of national primary care services against these standards in the field of adolescent health services. The main criteria identified by adolescents as important for primary care are as follows: accessibility, staff attitude, communication in all its forms, staff competency and skills, confidential and continuous care, age appropriate environment, involvement in health care, equity and respect and a strong link with the community. We found that although half of the Models of Child Health Appraised countries have adopted adolescent-specific policies or guidelines, many countries do not meet the current standards of quality health care for adolescents. For example, the ability to provide emergency mental health care or respond to life-threatening behaviour is limited. Many countries provide good access to contraception, but specialised care for a pregnant adolescent may be hard to find. Access needs to be improved for vulnerable adolescents; greater advocacy should be given to adolescent health and the promotion of good health habits. Adolescent health services should be well publicised, and adolescents need to feel empowered to access them.

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Effective School Health Service: A Response to Adolescent Health Needs in Europe

Cited by 8 publications

References 19 publications

Workforce and Professional Education

Workforce and Professional Education

Associations between study questionnaire-assessed need and school doctor-evaluated benefit of routine health checks: an observational study

Primary Care for Adolescents

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