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PREVENTIVE EXAMINATIONS OF CHILDREN IN DIFFERENT COUNTRIES: SIMILARITIES AND DIFFERENCES
Ganna V Gnyloskurenko1, Tomas Erler2, Adam J Sybilski3
1BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE.
Insights
This study compared pediatric well-child visit and screening guidelines in Ukraine, Poland, and Germany. Ukraine has more frequent doctor visits, while Germany and Poland recommend specific vitamin and mineral supplementation from birth.
Area of Science:
- Pediatrics
- Public Health
- Comparative Medicine
Background:
- Well-child visits and screenings are crucial for monitoring child development and early disease detection.
- International variations in healthcare guidelines can impact pediatric primary care.
- Understanding these differences is essential for optimizing child health outcomes.
Purpose of the Study:
- To compare and analyze differences in recommendations for well-child visits and screenings up to age five in Germany, Ukraine, and Poland.
- To identify key variations in preventive care strategies across these countries.
- To provide insights for enhancing primary pediatric care.
Main Methods:
- A comparative analysis of governmental recommendations for pediatricians in Germany, Ukraine, and Poland.
- Utilized specific national guidelines and child health record books for data extraction.
- Focused on well-child visit schedules, screening protocols, and supplementation recommendations.
Main Results:
- Ukraine exhibits 1.5-2 times more doctor visits compared to Germany and Poland; nurse visits are absent in Germany.
- Neonatal screenings for genetic and metabolic diseases in Ukraine align with international standards.
- Differences observed in hearing and vision screening ages, hip joint examinations, and routine vitamin/mineral supplementation (D, fluoride, iodine, K).
Conclusions:
- Significant similarities and differences exist in the preventive programs of Ukraine, Poland, and Germany.
- The findings highlight areas for potential improvement in primary pediatric care, particularly in Ukraine.
- Comparative analysis can inform evidence-based adjustments to national pediatric healthcare guidelines.
Objective:
The aim: The aim of this study was to compare, analize and establish differences the recommendations for well-child visits and screenings till the age of 5 years in different countries .
Patients And Methods:
Materials and methods: The comparative analysis of the data from governmental recommendations for pediatricians from Germany, Ukraine and Poland is conducted. It was used the guideline for medical care for a child under 3 years (The Order №149) and for a healthy child from 4 to 18 years (The Order №434) in Ukraine, the book «Kinderuntersuchungsheft» in Germany and child's examination book «Książeczka zdrowia dziecka» in Poland.
Results:
Results: The number of visits to children by the doctors in Ukraine is 1.5-2 times higher than in other countries and the nurses visit are absent in Germany. The neonatal screening for genetic and metabolic diseases, updated in 2021 in Ukraine, corresponds to such screenings in other countries. Physical examination is performed in accordance with WHO standards in Ukraine, while in Poland and Germany the growth references are specially developed for the pediatric population. There was a difference in the age of hearing screening, examination of the hip joints, tactics for assessing vision by a pediatrician. The use of vitamin D, fluoride, iodine and vitamin K is recommended in Poland and Germany from the birth, while in Ukraine only vitamins are used.
Conclusion:
Conclusions: It was found that the differences and similarities in preventive program in Ukraine, Poland and Germany. The results of this study may be useful for improving primary pediatric care.
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