Corso, Barbara

Luzi, Daniela

Minicuci, Nadia

Pecoraro, Fabrizio

Rocco, Ilaria

Tamburis, Oscar

Luzi Daniela

Pecoraro Fabrizio

Tamburis Oscar

Rocco Ilaria

Corso Barbara

Minicuci Nadia

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	22	Quality	of	primary	care	for	children:	ASTHMA	indicators	in	the	EU	MOCHA	project.	Daniela	Luzi		D	 Luzi1,	 F	 Pecoraro1,	 O	 Tamburis1,	 I	 Rocco2,	 B	Corso2,	N	Minicuci2	1Consiglio	 Nazionale	 delle	 Ricerche,	 Istituto	 di	ricerche	sulla	popolazione	e	le	politiche	sociali,	Roma	(Italy)	2Consiglio	 Nazionale	 delle	 Ricerche,	 Istituto	 di	Neuroscienze,	Padova	(Italy)		Contact:	d.luzi@irpps.cnr.it	Background	The	 lack	 of	 quality	 indicators	 for	 children	 certainly	biases	 the	 identification	 and	 further	 implementation	of	appropriate	measures	that	can	drive	improvements	of	 child	 health.	 One	 of	 the	 main	 objectives	 of	 the	MOCHA	 project	 is	 to	 appraise	 European	 health	systems	 identifying	 key	 success	 factors	 that	 increase	the	 quality	 of	 paediatric	 healthcare	 provision.	 To	achieve	 this	 aim	 it	 is	 necessary	 to	 identify	multidimensional	 indicators	 that	 cover	 different	aspects	 and	 address	 the	 various	 stakeholder	perspectives	of	quality.		Methods	Quality	Indicators	on	asthma	for	children	over	5	years	are	considered,	as	asthma	has	a	high	prevalence	rate,	it	 is	difficult	 to	diagnose	and	 is	often	associated	with	other	 symptoms,	moreover	 it	 is	 strictly	 related	with	environmental	 aspects	 and	 socio-economic	conditions.	Therefore,	asthma	is	a	suited	topic	to	test	multidimensional	 quality	 indicators.	 The	 selection	 of	indicators	 is	 based	 first	 on	 the	 already	 proposed	indicators	 in	 RICHE	 as	 well	 as	 on	 the	 literature	review.	 The	 proposed	 classification	 based	 on	 Mainz	(2003)	 and	 Tumaini	 (2013)	 is	 then	 submitted	 to	MOCHA	expertises’	in	order	to	gain	consensus	on	the	most	 important	 and	 main	 locally	 used	 indicators.	Results	The	 proposed	 classification	 supported	 by	 MOCHA	experts’	 consensus	 will	 be	 the	 basis	 to	 develop	 a	conceptual	 framework	 for	 SEM	 (Structured	Equation	Modelling)	analysis	on	asthma	to	be	performed	in	the	next	steps	of	the	project.		Conclusions	The	 proposed	 approach	 can	 contribute	 to	 gain	 a	broader	view	of	 the	quality	of	children	primary	care,	taking	 asthma	 as	 example.	 This	 can	 also	 help	 to	improve	the	health	systems’	performance	assessment	taking	into	account	differences	in	the	30	EU	countries	of	MOCHA	project.			Key	message:	• The	 necessity	 of	 developing	 quality	 indicators	specific	 for	children	is	the	basis	to	highlight	and	discuss	 the	 various	 issues	 concerning	 the	measurement	 of	 quality	 of	 care	 under	 a	multidimensional	 perspective	 that	 includes	 the	different	stakeholders’	points	of	view.		European Journal of Public Health, Vol. 26, Supplement 1, 2016  

Quality of primary care for children: ASTHMA indicators in the EU MOCHA project

https://www.iris.unina.it/retrieve/handle/11588/740582/231267/Abstracts_EUPHA%20Luzi%20et%20al..pdf

Quality of primary care for children: ASTHMA indicators in the EU MOCHA project

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Archivio della ricerca - Università degli studi di Napoli Federico II