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[How are personal child health records completed? A multicentric evaluation study]
C Vincelet1, M D Tabone, M Berthier
1Centre de bilans de santé de l'enfant de la CPAM de Paris, 96, rue Amelot, 75011 Paris, France. vincelet@ext.jussieu.fr
Insights
Completeness of child health records in France is lacking, particularly for older children. Key medical follow-up data is often missing, necessitating improved physician and parent engagement with these vital records.
Area of Science:
- Pediatrics
- Public Health
- Health Informatics
Context:
- Child health records are crucial for monitoring development and medical history.
- Assessing the completeness of these records is essential for effective healthcare.
- Previous studies have highlighted variability in record-keeping practices.
Purpose:
- To evaluate the completeness of personal child health records in France.
- To identify specific data gaps in pediatric health documentation.
- To inform strategies for improving the utilization of child health records.
Summary:
- A cross-sectional study analyzed 1685 child health records (infants and young children) and parent interviews in France.
- Results show high recording rates for Apgar scores (96%) and sitting acquisition (91%), but lower rates for growth curves (22-64%) and physician visits (10-19%).
- Significant data omissions were found for hospitalizations, operations, and immunizations, especially in older children's records.
Impact:
- Identifies critical deficiencies in child health record completeness in France.
- Highlights the need for enhanced physician and parental participation in maintaining accurate health records.
- Provides evidence to support interventions aimed at improving pediatric data management and healthcare continuity.
Objective:
To evaluate the completeness of personal child health record in France.
Patients And Methods:
Cross-sectional multicentric study, based on child health records analysed and parents' interviews; 1685 children were included: 863 infants aged from 12 to 18 month and 822 children aged from three and a half to four and a half years.
Results:
One Apgar score was recorded in 96% of cases; the sitting position's acquisition was registered in 91%; the age of walk in 81%. Growth curves were plotted in 64% of cases for weight and in 62% for height in infant's records and 22% of cases for both in older children's records. Ten per cent of the last visit to a physician were not recorded in infants health records, 19% in those of children; as well an hospitalisation for respectively 1,5% and 3,3% and a performed operation for 1,8% and 5,1% respectively. Immunization batches were exhaustively indicated in 68% and 50% of the records.
Conclusion:
Many important data for medical follow-up are missing in the child health records, especially for the oldest children. Physicians and parents should be incited to a better use of the personal record.
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