ABSTRACT
The strength of the youth health care system lies in its position as a central interface with connections to local youth and school authorities and medical paediatric institutions. Its most important task is translating and mediating between different disciplines and institutions which, in some way, concern child and adolescent health. The school and education system faces a problematic social development; it is in need of paediatric support by Community youth health care. Community youth health care must be developed according to changing conditions and tasks. There is a need for child and youth health reporting to find out the local needs and offers. Paediatricians dealing with Community child and youth health care must have an additional training on the job.
Subject(s)
Patient Care Team/trends , Pediatrics/trends , School Health Services/trends , Adolescent , Child , Female , Forecasting , Germany , Health Promotion/trends , Humans , Interprofessional Relations , Male , Physician's Role , Public Health/trendsABSTRACT
The success of the recommendation of vaccinations on the occasion of school-beginner examinations is assessed. The feedback rate of the intervention group amounts to 65%. The recommended vaccinations were carried out at 60% (measles-mumps-rubella) up to 90% (tetanus).
Subject(s)
Immunization Programs , Child , Child, Preschool , Female , Germany , Humans , Immunization Schedule , Male , Measles Vaccine/administration & dosage , Measles-Mumps-Rubella Vaccine , Mumps Vaccine/administration & dosage , Rubella Vaccine/administration & dosage , Tetanus Toxoid/administration & dosage , Vaccines, Combined/administration & dosageABSTRACT
The most important precondition for quality control in public youth health care is the determination of the required functions. The legal and actual circumstances in the Bundesländer and in the communities and districts vary greatly. Therefore, community youth health care should be supervised by a local committee. Secondly, the description of youth health care products should include complete quality requirements. Thirdly, the structural conditions of production should be analysed. Finally, we should establish audits on outcome quality.
Subject(s)
Adolescent Health Services/legislation & jurisprudence , Child Health Services/legislation & jurisprudence , Quality Assurance, Health Care/legislation & jurisprudence , Adolescent , Child , Child, Preschool , Female , Germany , Humans , Infant , Male , Medical Audit/legislation & jurisprudence , Treatment OutcomeSubject(s)
Adolescent Health Services/trends , Child Health Services/trends , National Health Programs/trends , Adolescent , Child , Female , Forecasting , Germany , Humans , Male , Public Health/trendsABSTRACT
A uniform medical documentation system for school health care in the FRG does not seem to be realistic. On the contrary, a system based on singular modules could be adapted to the different local or regional requirements. This solution depends on two agreements, first of all the formal compatibility of the database, and secondly a compulsory basic panel to guarantee uniform youth health reporting.
Subject(s)
Adolescent Health Services/statistics & numerical data , Child Health Services/statistics & numerical data , Documentation/methods , Information Systems , Adolescent , Child , Child, Preschool , Disease Notification/statistics & numerical data , Female , Germany , Health Status Indicators , Humans , Infant , Infant, Newborn , Male , School Health Services/statistics & numerical data , SoftwareABSTRACT
Health screening, health counselling, promotion of pupils and health reporting are the principal marks of school doctor's precautionary health care examinations. The appropriate documentation form must meet the basic requirements of the pupil, of the medical officer and of the evaluation programme. The general concept is realized in three steps: first, definition of the contents, second, operationalisation of the individual items and third, the definition of conventional documenting.
Subject(s)
Documentation/methods , Multiphasic Screening , School Health Services , Child , Germany , Humans , Physical ExaminationABSTRACT
The preventive status of an age group of school beginners in Frankfurt/Main in the years 1988-1990 is outlined. It shows large variations due to the different districts, so that average data are not relevant. Juxtaposition with the regional social structure points at a coherence between social characteristics and preventive compliance. The findings prove the necessity of a municipal "Invitation Model" for infants.
Subject(s)
Child Health Services/statistics & numerical data , Mass Screening/statistics & numerical data , Preventive Health Services/statistics & numerical data , Vaccination/statistics & numerical data , Child , Germany , Humans , Socioeconomic FactorsABSTRACT
Health promotion for schoolchildren requires a medical staff due to the multitude of functions. The introduced calculatory basis for an appropriate allocation of personnel allows to meet various requirements in different regions of the FRG.
