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  • 1.
    Gilbert, R. E.
    et al.
    England.
    Fluke, J.
    USA.
    O'Donnell, M.
    Australia.
    Gonzalez-Izquierdo, A.
    England.
    Brownell, M.
    Canada.
    Gulliver, P.
    New Zealand.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences. Örebro university.
    Sidebotham, P.
    England.
    Trends in child maltreatment reply2012In: The Lancet, ISSN 0140-6736, E-ISSN 1474-547X, Vol. 379, no 9831, p. 2049-2049Article in journal (Refereed)
  • 2. Gilbert, Ruth
    et al.
    Fluke, John
    O'Donnell, Melissa
    Gonzalez-Izquierdo, Arturo
    Brownell, Marni
    Gulliver, Pauline
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Sidebotham, Peter
    Child maltreatment; variations and trends in six developed countries2012In: The Lancet, ISSN 0140-6736, E-ISSN 1474-547X, Vol. 379, no 9817, p. 758-772Article in journal (Refereed)
  • 3.
    Wolfe, Ingrid
    et al.
    European Centre on Health of Societies in Transition, London School of Hygiene & Tropical Medicine, London, UK.
    Thompson, Matthew
    European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London, UK.
    Gill, Peter
    Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
    Tamburlini, Giorgio
    Centro per la Salute del Bambino, Trieste, Italy.
    Blair, Mitch
    Division of Paediatrics, Imperial College, London, UK.
    van den Bruel, Ann
    Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
    Ehrich, Jochen
    Medizinische Hochschule, Hannover, Hanover, Germany.
    Pettoello-Mantovani, Massimo
    School of Medicine, University of Foggia, Foggia, Italy.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Karanikolos, Marina
    European Centre on Health of Societies in Transition, London School of Hygiene & Tropical Medicine, London, UK.
    McKee, Martin
    European Centre on Health of Societies in Transition, London School of Hygiene & Tropical Medicine, London, UK.
    Health services for children in western Europe2013In: The Lancet, ISSN 0140-6736, E-ISSN 1474-547X, Vol. 381, no 9873, p. 1224-1234Article in journal (Refereed)
    Abstract [en]

    Western European health systems are not keeping pace with changes in child health needs. Non-communicable diseases are increasingly common causes of childhood illness and death. Countries are responding to changing needs by adapting child health services in different ways and useful insights can be gained through comparison, especially because some have better outcomes, or have made more progress, than others. Although overall child health has improved throughout Europe, wide inequities remain. Health services and social and cultural determinants contribute to differences in health outcomes. Improvement of child health and reduction of suffering are achievable goals. Development of systems more responsive to evolving child health needs is likely to necessitate reconfiguring of health services as part of a whole-systems approach to improvement of health. Chronic care services and first-contact care systems are important aspects. The Swedish and Dutch experiences of development of integrated systems emphasise the importance of supportive policies backed by adequate funding. France, the UK, Italy, and Germany offer further insights into chronic care services in different health systems. First-contact care models and the outcomes they deliver are highly variable. Comparisons between systems are challenging. Important issues emerging include the organisation of first-contact models, professional training, arrangements for provision of out-of-hours services, and task-sharing between doctors and nurses. Flexible first-contact models in which child health professionals work closely together could offer a way to balance the need to provide expertise with ready access. Strategies to improve child health and health services in Europe necessitate a whole-systems approach in three interdependent systems—practice (chronic care models, first-contact care, competency standards for child health professionals), plans (child health indicator sets, reliable systems for capture and analysis of data, scale-up of child health research, anticipation of future child health needs), and policy (translation of high-level goals into actionable policies, open and transparent accountability structures, political commitment to delivery of improvements in child health and equity throughout Europe).

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