Hooper Tamara D, Hibbert Peter D, Mealing Nicole, Wiles Louise K, Jaffe Adam, White Les, Cowell Christopher T, Harris Mark F, Runciman William B, Goldstein Stan, Hallahan Andrew R, Wakefield John G, Murphy Elisabeth, Lau Annie, Wheaton Gavin, Williams Helena M, Hughes Clifford, Braithwaite Jeffrey
Division of Education, Arts and Social Sciences, Centre for Sleep Research, School of Psychology, Social Work and Social Policy, University of South Australia, Adelaide, South Australia, Australia Faculty of Medicine and Health Sciences, Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Faculty of Medicine and Health Sciences, Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
BMJ Open. 2015 Apr 8;5(4):e007749. doi: 10.1136/bmjopen-2015-007749.
Australian and international clinical practice guidelines are available for common paediatric conditions. Yet there is evidence that there are substantial variations between the guidelines, recommendations (appropriate care) and the care delivered. This paper describes a study protocol to determine the appropriateness of the healthcare delivered to Australian children for 16 common paediatric conditions in acute and primary healthcare settings.
A random sample of 6000-8000 medical records representing a cross-section of the Australian paediatric population will be reviewed for appropriateness of care against a set of indicators within three Australian states (New South Wales, Queensland and South Australia) using multistage, stratified sampling. Medical records of children aged <16 years who presented with at least one of the study conditions during 2012 and 2013 will be reviewed.
Human Research Ethics Committee approvals have been received from the Sydney Children's Hospital Network, Children's Health Queensland Hospital and Health Service and Women's and Children's Hospital Network (South Australia). An application is under review for the Royal Australian College of General Practitioners. The authors will submit the results of the study to relevant journals and offer oral presentations to researchers, clinicians and policymakers at national and international conferences.
澳大利亚和国际上都有针对常见儿科疾病的临床实践指南。然而，有证据表明这些指南、建议（适当护理）与实际提供的护理之间存在很大差异。本文描述了一项研究方案，以确定在急性和初级卫生保健环境中，为澳大利亚儿童提供的针对16种常见儿科疾病的医疗保健的适当性。
将使用多阶段分层抽样方法，对代表澳大利亚儿科人群的6000 - 8000份病历进行随机抽样，对照一组指标审查澳大利亚三个州（新南威尔士州、昆士兰州和南澳大利亚州）内护理的适当性。将审查2012年和2013年期间出现至少一种研究疾病的16岁以下儿童的病历。
已获得悉尼儿童医院网络、昆士兰儿童健康医院和卫生服务机构以及南澳大利亚妇女和儿童医院网络的人类研究伦理委员会批准。澳大利亚皇家全科医生学院的申请正在审核中。作者将把研究结果提交给相关期刊，并在国内和国际会议上向研究人员、临床医生和政策制定者进行口头汇报。
