Population child health: understanding and addressing complex health needs.

摘要: Advances in paediatric care mean that more children with complex medical problems (heart disease, neurodevelopmental and so on) are surviving their early years. This has important implications for the design delivery of healthcare given extensive multidisciplinary requirements susceptibility to poor outcomes when not optimally managed. Importantly, needs must also be understood addressed within context child family’s life circumstances. There is growing recognition many other factors contribute a child’s health (CHNs), example, family problems, fragmentation provision, psychological difficulties or social issues. To facilitate proactive these patients, we develop accurate ways identify them. Whole Systems Integrated Care—an online platform integrates routinely collected data from primary secondary care—offers an example how do this. An algorithm applied this identifies CHNs entire patient population. When tested large inner-city GP practice, analysis shows good concordance clinical opinion population much higher proportion than expected. Ongoing refinement data-driven processes will allow quantification identification need local populations, thus aiding development tailored services.