Paediatric Assessment Services in Primary Care: a critical review
Reference of this article: Hernando Helguero P. Paediatric Assessment Services in Primary Care: a critical review. Rev Pediatr Aten Primaria. 1999;1:195-208.
Published in Internet: 30-06-1999 - Visits: 8684
We present a critical review of the child addressed services of current Assessment
Services in Insalud dependent Primary Health Care Centres pointing to two aspects:
1. What activities are included in the Assessment Services and what should be there?.
Most of the recommended preventive activities are dealt with. We explain the reasons to
include hearing evaluation of children under two, recommendations to prevent sudden infant
death, prevention of child abuse and reduction of passive smoking. The great absent of
current assessment is the adolescent. We revise the activities for this period. We discuss the
difficulties to include acute and chronic conditions in the Assessment Services.
2. Is current Assessment Services useful to paediatrician and/or to sanitary managers?
As far as paediatricians is concerned, the evaluation of their activity is essential. Sanitary managers need tools to evaluate the ?product? of each centre in order to incentivate according
to the results. The objetives of managers and professionals not always are compatible.
It is only possible a real improvement in quality with the participation ad the involvement
of the professionals. Managers should make easy the evaluation of the product and require
the professionals the realisation of internal projects of improvement that, being coherent
with the objetives of the organistation, give response to the professionals and patients interests
Keywords● Assessment services ● Primary care