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Paediatric Primary Care Across Europe: A Survey of 42 Countries
Nora Karara1,2,3, Antonio Corsello1,4,5, Stefano Del Torso1,6
1European Academy of Paediatrics, Brussels, Belgium.
Insights
Primary pediatric care in Europe shows progress in integration and digital tools, but significant gaps persist for adolescents and in digital infrastructure. Harmonizing training and investing in digital systems are crucial for equitable, high-quality child healthcare.
Area of Science:
- Paediatric primary care
- European healthcare systems
- Child and adolescent health
Background:
- Primary care for children and adolescents in Europe is evolving.
- Healthcare systems face challenges in models, workforce, and digital integration.
- Policy implications for improving paediatric care quality are needed.
Purpose of the Study:
- To provide an updated overview of primary paediatric care across Europe.
- To investigate evolving healthcare systems, identifying progress and gaps.
- To inform policymakers on enhancing European paediatric healthcare.
Main Methods:
- Cross-sectional survey among national delegates of European paediatric organizations.
- Data collected from 42 member countries on real-world implementation.
- Standardized, national-level data on primary paediatric care delivery.
Main Results:
- Combined care models are most common (45.2%), with 28.6% of countries shifting towards them.
- Paediatrician involvement decreases with age; general practitioner involvement increases.
- Significant gaps exist in interoperable electronic health records (35.9%), preventive care, adolescent visits, and training.
Conclusions:
- Progress in care integration and digital adoption contrasts with persistent disparities for adolescents and digital infrastructure.
- Future models require harmonized training, addressing regional inequalities, and investment in interoperable digital health.
- Equitable, high-quality paediatric primary care necessitates strategic improvements in these areas.
Aim:
This study provides an updated overview of primary care for children and adolescents across Europe, investigating how systems are evolving and identifying progress and persistent gaps in healthcare models, workforce challenges and digital health integration. This study draws implications for policy makers to improve the quality of paediatric care in Europe.
Methods:
A cross-sectional survey was conducted among national delegates of the European Academy of Paediatrics and the European Confederation of Primary Care Paediatricians. Respondents from 42 member countries provided standardised, national-level data on real-world implementation.
Results:
Paediatrician-led, general practitioner-led, and combined models were reported in 28.6%, 26.2% and 45.2% of 42 countries, respectively. Eight countries (28.6%) changed their delivery models between 2010 and 2024, most transitioning toward combined care. Paediatricians' involvement declined with patient age, while general practitioners' involvement increased. Only 35.9% of countries achieved fully interoperable electronic health records. Preventive care delivery, adolescent health visits and training duration in primary paediatric care revealed critical gaps.
Conclusions:
Despite progress in care integration and digital uptake, major disparities remain for adolescents, digital infrastructure and training quality. Future paediatric primary care models must harmonise training, address regional disparities and invest in interoperable digital health systems to ensure equitable, high-quality care.
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