Primary care in a child centred ecological model and MOCHA.
| Child | Family | School/Community/Peers/Extended Family/Carers | Health and Social Care Services, Secondary Care, Tertiary Care, Social Care | Social and Political Context, Media | |
|---|---|---|---|---|---|
| Identification of models (WP1) | Case study focus | Case study focus | Case study focus – overlaps with WP3 | Case study focus – overlaps with WP2 | Workstream on social and political context |
| Interface with secondary care for children needing complex care (WP2) | Uses case studies – child focus (overlap with WP1) | Case study focus complex care and family; social care perspective; child protection (connects to WP1) | Case study focus – extended family and external carers; social care context, education (Connects to WP1) | Focus on interaction between primary and secondary/tertiary care; interaction with social care services | |
| School and adolescent health (WP3) | Adolescent care – focus on empowerment of child; accessibility; autonomy in decision-making | Family relationship with school? | School health focus; peer influence on health, autonomy in adolescence and greater influence of friends. | Structure and function of school health services | Social media |
| Family relationships (problematic?) in terms of well-being in adolescence? | Alternative focus of services for appropriate and accessible adolescent health care | Social acceptance of school health services | |||
| Encouragement for adolescents to use outreach/other adolescent-specific services | |||||
| Quality measures and outcomes (WP4) | Child vaccinations, conditions | Family involved in service, engaged in service | Health system appropriate for community needs/setting | Good communication and coordination between different services and models | Social acceptance of quality |
| Good understanding of quality evidence base | |||||
| Social agreement on what is a good outcome | |||||
| Use of large datasets (WP5) | Consent for data to be collected and used | Acceptance of need for data, consent for child and family data to be collected and used | Data availability and use in community services. | Data availability | Social acceptance of data collection and use |
| Use of data to inform service structure and communication needs | |||||
| Economic and skill set evaluation and analysis (WP6) | Appropriate workforce for child’s needs (skilled) | Communication between family and health workforce to common aim (good outcome) | Accessible and appropriate workforce in community settings | Motivated and skilled workforce in health system | (Earned) Respect for health workforce |
| Accessible (friendly, knowledgeable) workforce | Workforce communication between primary, secondary, tertiary care etc. | ||||
| Equity (WP7) | Child is able and willing to access and engage with health service | Family is able and willing to access and engage with health service | Community access equitable to all | Equity of access to health service (based on clinical/social need?) | Social context taken into account to adapt health service so that all populations can access if needed |
| Electronic records (WP8) | Sharing of eHealth records across disciplines and services (when appropriate) | Sharing of eHealth records across disciplines and services (when appropriate) | |||
| Optimal models (WP9) | Child centredness taken into account in optimum model recommendations; positioning of the health system in wider ecological model | ||||
| Child | Family | School/Community/Peers/Extended Family/Carers | Health and Social Care Services, Secondary Care, Tertiary Care, Social Care | Social and Political Context, Media | |
|---|---|---|---|---|---|
| Identification of models (WP1) | Case study focus | Case study focus | Case study focus – overlaps with WP3 | Case study focus – overlaps with WP2 | Workstream on social and political context |
| Interface with secondary care for children needing complex care (WP2) | Uses case studies – child focus (overlap with WP1) | Case study focus complex care and family; social care perspective; child protection (connects to WP1) | Case study focus – extended family and external carers; social care context, education (Connects to WP1) | Focus on interaction between primary and secondary/tertiary care; interaction with social care services | |
| School and adolescent health (WP3) | Adolescent care – focus on empowerment of child; accessibility; autonomy in decision-making | Family relationship with school? | School health focus; peer influence on health, autonomy in adolescence and greater influence of friends. | Structure and function of school health services | Social media |
| Family relationships (problematic?) in terms of well-being in adolescence? | Alternative focus of services for appropriate and accessible adolescent health care | Social acceptance of school health services | |||
| Encouragement for adolescents to use outreach/other adolescent-specific services | |||||
| Quality measures and outcomes (WP4) | Child vaccinations, conditions | Family involved in service, engaged in service | Health system appropriate for community needs/setting | Good communication and coordination between different services and models | Social acceptance of quality |
| Good understanding of quality evidence base | |||||
| Social agreement on what is a good outcome | |||||
| Use of large datasets (WP5) | Consent for data to be collected and used | Acceptance of need for data, consent for child and family data to be collected and used | Data availability and use in community services. | Data availability | Social acceptance of data collection and use |
| Use of data to inform service structure and communication needs | |||||
| Economic and skill set evaluation and analysis (WP6) | Appropriate workforce for child’s needs (skilled) | Communication between family and health workforce to common aim (good outcome) | Accessible and appropriate workforce in community settings | Motivated and skilled workforce in health system | (Earned) Respect for health workforce |
| Accessible (friendly, knowledgeable) workforce | Workforce communication between primary, secondary, tertiary care etc. | ||||
| Equity (WP7) | Child is able and willing to access and engage with health service | Family is able and willing to access and engage with health service | Community access equitable to all | Equity of access to health service (based on clinical/social need?) | Social context taken into account to adapt health service so that all populations can access if needed |
| Electronic records (WP8) | Sharing of eHealth records across disciplines and services (when appropriate) | Sharing of eHealth records across disciplines and services (when appropriate) | |||
| Optimal models (WP9) | Child centredness taken into account in optimum model recommendations; positioning of the health system in wider ecological model | ||||
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