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Models of Primary Care and Appraisal Frameworks

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Abstract

The Models of Child Health Appraised (MOCHA) project identified the different models of primary care that exist for children, examined the particular attributes that might be different from those directed at adults and considered how these models might be appraised. The project took the multiple and interrelated dimensions of primary care and simplified them into a conceptual framework for appraisal. A general description of the models in existence in all 30 countries of the EU and EEA countries, focusing on lead practitioner, financial and regulatory and service provision classifications, was created. We then used the WHO ‘building blocks’ for high-performing health systems as a starting point for identifying a good system for children. The building blocks encompass safe and good quality services from an educated and empowered workforce, providing good data systems, access to all necessary medical products, prevention and treatments, and a service that is adequately financed and well led. An extensive search of the literature failed to identify a suitable appraisal framework for MOCHA, because none of the frameworks focused on child primary care in its own right. This led the research team to devise an alternative conceptualisation, at the heart of which is the core theme of child centricity and ecology, and the need to focus on delivery to the child through the life course. The MOCHA model also focuses on the primary care team and the societal and environmental context of the primary care system.

Acceptance Date May 6, 2019
Publication Date May 6, 2019
Publicly Available Date Mar 29, 2024
Book Title Issues and Opportunities in Primary Health Care for Children in Europe
ISBN 978-1-78973-354-9
DOI https://doi.org/10.1108/978-1-78973-351-820191007
Keywords Child, Primary care, Appraisal framework, Conceptual framework, Health System, Models of Care
Publisher URL https://www.emerald.com/insight/content/doi/10.1108/978-1-78973-351-820191007/full/html

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