Weber Martin W, Jullien Sophie, Redlich Cassie, Hall Jennifer, Carai Susanne
WHO regional office for Europe, Office for Quality of care and patient safety, Ploutarchou 3, Athens, Greece.
Glob Pediatr. 2024 Sep;9:None. doi: 10.1016/j.gpeds.2024.100194.
Primary health care for children in Europe is often not optimal. Primary care providers might not have been trained adequately in dealing with common conditions affecting children and adolescents, and outdated practices often persist. To address these problems, WHO developed the Pocket Book of Primary Health Care for Children and Adolescents It is for use by doctors, nurses and other health workers who are responsible for the care of children and adolescents at the primary health care level. It summarizes guidance on how to manage - and when to refer - children and adolescents presenting with common complaints and conditions. It includes information to enable primary health care providers to coordinate the continued care of children and adolescents with long-term conditions and diseases managed by specialists. Preventive and promotive measures from the newborn period to adolescence include advice on the timing and content of well-child visits, the promotion of early childhood development and health messages for adolescents. The recommendations of the Pocket Book apply across the WHO European Region and may be adapted by countries to suit their specific circumstances. A mobile APP for Android and IOS phones is available to facilitate uptake and dissemination. The Pocket Book and APP aim to improve quality of care for children and adolescents at the primary health care level. Quality of care is at the core of the comprehensive European Child and Adolescent Health Strategy that is being developed by Member States supported by WHO and partners to refocus attention on child and adolescent health after the COVID-19 pandemic had scooped attention and resources away from this age group. Countries are encouraged to adapt Pocket Book and Strategy to improve the situation of child and adolescent health and well-being in their settings and monitor progress.
欧洲儿童的初级卫生保健往往不尽如人意。初级保健提供者在处理影响儿童和青少年的常见病症方面可能未得到充分培训,过时的做法常常持续存在。为解决这些问题,世卫组织编写了《儿童和青少年初级卫生保健袖珍手册》。它供在初级卫生保健层面负责照顾儿童和青少年的医生、护士及其他卫生工作者使用。该手册总结了关于如何管理以及何时转诊出现常见症状和病症的儿童和青少年的指导意见。它包含相关信息,使初级卫生保健提供者能够协调对患有由专科医生管理的长期病症和疾病的儿童和青少年的持续护理。从新生儿期到青春期的预防和促进措施包括关于健康儿童访视的时间和内容、促进幼儿发育以及向青少年传达健康信息的建议。《袖珍手册》的建议适用于世卫组织欧洲区域各地,各国可根据具体情况进行调整。有一款适用于安卓和苹果手机的移动应用程序,以促进其采用和传播。《袖珍手册》和应用程序旨在提高初级卫生保健层面儿童和青少年的护理质量。护理质量是欧洲儿童和青少年综合健康战略的核心,该战略由会员国在世卫组织及合作伙伴的支持下制定,旨在将注意力重新聚焦于儿童和青少年健康,此前新冠疫情已将注意力和资源从这个年龄组转移开。鼓励各国调整《袖珍手册》和战略,以改善其国内儿童和青少年的健康与福祉状况并监测进展情况。