Blair, M, Rigby, M and Alexander, D (2019) Evidence to Achieve an Optimal Model for Children’s Health in Europe. In: Issues and Opportunities in Primary Health Care for Children in Europe. Emerald. ISBN 978-1-78973-351-8

[thumbnail of M Rigby - Evidence to achieve an optimal model for children's health in Eurpope.pdf]
M Rigby - Evidence to achieve an optimal model for children's health in Eurpope.pdf - Published Version
Available under License Creative Commons Attribution.

Download (219kB) | Preview


Models of Child Health Appraised (MOCHA) was a wide-ranging, multi-disciplinary and multi-method study that aimed to identify the best models of provision of primary care for the children of the European Union. The research has identified two main conclusions: (1) The depth of interdependency of health, economy and society. Primary care needs to be an active partner in public debate about current child health concerns. It should orientate more effectively in addressing wider societal influences on child health through advocacy and collaborative intersectoral public health approaches with those agencies responsible for public and community health if it is to address effectively issues such as childhood obesity, mental health and vaccine hesitancy. As part of this, it needs to address its workforce composition and skills, not least in two-way communication. (2) The European Community has many visions and commitments to children and child health policies, but their effectiveness is largely unfulfilled. The Commission can strengthen its impact on children’s health and healthcare services within current remits and resources by focusing on a number of key fields: planned and structured research, providing insight into optimal human resources and skills in child primary care, developing and using ethical means of listening to children’s views, remedying the invisibility of children in data, measuring the quality of primary care from a child-centric perspective, understanding the economics of investing in children’s health, developing e-health standards and evaluation, collaborative and harmonised use of downloaded research databases, understanding and respecting children’s rights and equity, and appreciating and allowing for children’s evolving autonomy as they grow up. An optimal model of primary care for children is proactive, inclusive, corporately linked, based on and providing robust evidence, and respects the wider determinants of health and children’s involvement in their health trajectory.

Item Type: Book Section
Additional Information: Copyright © 2019 European Commission License This chapter is published under the Creative Commons Attribution (CC BY 4.0) licence. Anyone may reproduce, distribute, translate and create derivative works of this chapter (for both commercial and non-commercial purposes), subject to full attribution to the original publication and authors. The full terms of this licence may be seen at
Uncontrolled Keywords: child; primary care health services; optimum models; health outcomes; intersectoral; interdependency; autonomy
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: Faculty of Humanities and Social Sciences > School of Social Science and Public Policy
Depositing User: Symplectic
Date Deposited: 03 Sep 2019 15:06
Last Modified: 06 Sep 2019 13:28

Actions (login required)

View Item
View Item