Related Experiment Video
Updated: Feb 11, 2026

TBase - an Integrated Electronic Health Record and Research Database for Kidney Transplant Recipients
Published on: April 13, 2021
Profiling Databases to Facilitate Comparison of Child Health Systems Across Europe Using Standardised Quality Markers
Harshana Liyanage1, Stacy Shinneman1, Uy Hoang1
1Department of Clinical & Experimental Medicine, University of Surrey, UK.
Insights
This study details a metadata schema for appraising child health data across Europe. It enables identification of data on 10 key pediatric health indicators in 30 countries.
Area of Science:
- Pediatric Health Services Research
- Health Informatics
- Comparative Health Systems Analysis
Background:
- Child primary healthcare models differ significantly across European nations, broadly categorized into pediatrician-led, general practitioner-led, or mixed systems.
- The Models of Child Health Appraised (MOCHA) project aims to compare these diverse healthcare models.
- A standardized method for identifying and appraising relevant data sources is crucial for cross-national comparative analysis.
Purpose of the Study:
- To describe the metadata schema developed for the MOCHA project.
- To outline the MOCHA International Research Opportunity Instrument (MIROI) used for data source appraisal.
- To demonstrate the schema's utility in identifying data relevant to specific pediatric clinical indicators.
Main Methods:
- Development of a metadata schema tailored for profiling candidate data sources.
- Application of the MOCHA International Research Opportunity Instrument (MIROI) for appraisal.
- Inclusion of ten key clinical indicators: asthma, antibiotic stewardship, immunisation, rickets, diarrhea, epilepsy, attention deficit hyperactivity disorder (ADHD), enuresis, depression, and pregnancy care.
Main Results:
- The developed metadata schema effectively identifies data within various sources related to the ten specified clinical indicators.
- Across 30 European countries, a range of 5 to 36 distinct databases were found for each clinical indicator.
- This highlights significant variation in data availability and structure for child health research across Europe.
Conclusions:
- The MIROI metadata schema provides a robust framework for systematically appraising child health data sources.
- It facilitates the identification of relevant data for comparative analysis of pediatric healthcare models across Europe.
- The schema supports the MOCHA project's goal of understanding and comparing child health service delivery.
Abstract:
Models of child primary health care vary across Europe. There are three categories, primary care paediatricians, general practitioner based, or mixed. This paper describes the metadata schema used in the profiling process of candidate data sources for appraisal for the Models of Child Health Appraised (MOCHA) project using the MOCHA International Research Opportunity Instrument (MIROI). The ten clinical indicators included: asthma, antibiotic stewardship, immunisation, rickets, diarrhea, epilepsy, depression, ADHD, enuresis and care of women during pregnancy. Our metadata allows us to identify data within included data sources concerning any of the 10 clinical indicators identified for comparative analysis within the MOCHA project. From the 30 countries we found a minimum of 5 and a maximum of 36 different databases for each indicator.
Related Concept Videos
Drug Dissolution: Requirements and Profile Comparison
Facilitated Transport
Facilitated Transport
Social Facilitation
Facilitated Diffusion
In this process, substrates such as organic compounds and ions interact with a transporter on one side, triggering conformational changes in proteins that enable...
The Sense of Self: Reflected Self-Appraisal and Social Comparison

