Corso Barbara

Luzi Daniela

Minicuci Nadia

Pecoraro Fabrizio

Rocco Ilaria

Tamburis Oscar

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	 23	Quality	of	primary	care	for	children:	Autism	Spectrum	Disorders	and	Immunization	indicators	in	the	EU	MOCHA	project.	Nadia	Minicuci		N	 Minicuci1,	 I	 Rocco1,	 B	 Corso1,	 F	 Pecoraro2,	 O	Tamburis2,	D	Luzi2.	1Consiglio	 Nazionale	 delle	 Ricerche,	 Istituto	 di	Neuroscienze,	Padova	(Italy)		2Consiglio	 Nazionale	 delle	 Ricerche,	 Istituto	 di	ricerche	sulla	popolazione	e	le	politiche	sociali,	Roma	(Italy)	Contact:	nadia.minicuci@unipd.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	 pediatric	 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	A	 literature	 search	 was	 carried	 out	 on	 existing	indicators	regarding:	immunization,	Autism	Spectrum	Disorder	 (ASD)	 and	 Attention	 Deficit	 Hyperactivity	Disorder	 (ADHD).	 The	 search	 focused	 on	 the	European	 projects	 such	 as	 RICHE	(http://www.childhealthresearch.eu/)	 and	 CHILD,	the	 WHO	 and	 UNICEF	 websites	 and	 documents,	 the	available	national	guidelines	and	Google	Scholar.	Results	Over	 150	 and	 70	 indicators	 were	 found	 for	immunization	and	ASD/ADHD,	respectively.	For	 immunization,	almost	half	of	 the	 indicators	were	categorized	 as	 Outcome	 Indicators,	 around	 25%	 as	Structure	 Indicators	 and	 11%	 on	 the	 Process	Indicators.	 Most	 of	 them	 regarded	 coverage,	record/archiving	 activities,	 regulation/policy	 and	funds.	For	 ASD	 and	 ADHD	 only	 two	 Structure	 Indicators	were	 found,	 the	 remaining	 ones	 being	 equally	distributed	between	Process	and	Outcome	categories.	The	Process	Indicators	were	mainly	focus	on	provider	care	 while	 the	 Outcome	 Indicators	 split	 between	Intermediate	and	Final	Outcome.	Conclusions	The	 investigation	 on	 the	 available	 indicators	 can	contribute	 to	 gain	 a	 broader	 view	 of	 the	 quality	 of	children	primary	care	and	highlight	potential	gaps.			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.		9th European Public Health Conference: Parallel Sessions 

Quality of primary care for children: Autism Spectrum Disorders and Immunization indicators in the EU MOCHA project

https://www.iris.unina.it/retrieve/handle/11588/740578/231262/Abstracts_EUPHA%20Minicuci%20et%20al..pdf

Quality of primary care for children: Autism Spectrum Disorders and Immunization indicators in the EU MOCHA project

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Archivio della ricerca - Università degli studi di Napoli Federico II