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Published on: September 19, 2019
[Care pathway of children managed by the Bouches-du-Rhone Child Welfare Services]
Insights
This study analyzed the care pathways for 1,092 children in Bouches-du-Rhône Child Welfare Services. Improved coordination among healthcare providers is essential for better child welfare outcomes.
Area of Science:
- Pediatrics
- Public Health
- Child Welfare Services
Background:
- Children in child welfare services often have complex health needs.
- Understanding their care pathways is crucial for effective intervention.
- Previous research has not fully detailed the care coordination for these vulnerable children.
Purpose of the Study:
- To describe the care pathway for children managed by Bouches-du-Rhône Child Welfare Services.
- To identify areas for improvement in the existing care pathway.
- To enhance the health and well-being of children under child welfare supervision.
Main Methods:
- A descriptive, cross-sectional survey (ESSPER-ASE 13) was conducted from April 2013 to April 2014.
- Included 1,092 children under 18 years in Bouches-du-Rhône Child Welfare Services (children's homes or foster care).
- Data collected on physical/mental health, medical follow-up, and care pathway characteristics.
Main Results:
- 82% of children were followed by general practitioners; 15% by Maternal and Infant Protection (MIP).
- Care pathways involved multiple professionals, dominated by psychological follow-up (average of 2 additional professionals).
- Immunization coverage rates exceeded national averages, indicating effective preventive care in this area.
Conclusions:
- Coordination among the numerous healthcare actors is essential for optimizing child welfare.
- Establishing a dedicated referring physician could streamline care and improve outcomes.
- Further research should focus on implementing and evaluating coordinated care models.
Aim:
To describe the care pathway of children managed by the Bouches-du-Rhône Child Welfare Services and to propose ways to improve this care pathway.
Methods:
ESSPER-ASE 13 survey is a descriptive and cross-sectional survey carried out between April 2013 and April 2014, which included 1,092 children under the age of 18 years placed in a Bouches-du-Rhône Child Welfare Services children's home or foster care. This survey studied the physical and mental health and the medical follow-up characteristics of these children. This article focuses on care pathway data.
Results:
82% of children were followed by general practitioners, while 15% of children, essentially children under the age of 6 years in child care, were followed by Maternal and Infant Protection (Protection Maternelle et Infantile). The care pathway of these children involved multiple actors and was dominated by psychological follow-up. On average, the children were followed by 2 professionals (specialist or paramedical professional) in addition to the medical examiner. In terms of prevention, children's immunization coverage rates were better than national rates.
Conclusion:
Coordination of the numerous actors is essential, including the creation of a referring physician.
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