TY  - CHAP
AB  - Abstract There is considerable heterogeneity between primary care systems that have evolved in individual national cultural environments. Models of Child Health Appraised (MOCHA) studied how the transfer of models or their individual components can be achieved across nations, using examples of combinations of settings, functions, target groups and tracer conditions. There are many factors that determine the feasibility of successful transfer of these from one setting to another, which must be recognised and taken into account. These include the environment of the care system, national policy-making and contextual means of directing population behaviour – in the form of penalties and incentives, which cannot be assessed or expected to work by means of rational actions alone. MOCHA developed a list of criteria to assess transferability, summarised in a population characteristics, intervention content, environment and transfer (PIET-T) process. To explore the process and means of transferability, we obtained consensus statements from the researchers on optimum model scenarios and conducted a survey of stakeholders, professionals and users of children’s primary care services that involved three specific health topics: vaccination coverage in infants, monitoring of a chronic or complex condition and early recognition of mental health problems. The results give insight into features of transferability – such as the availability and the use of guidelines and formal procedures; the barriers and facilitators of implementation and similarities and differences between model practices and the existing model of child primary care in the country. We found that successful transfer of an optimal model is impossible without tailoring the model to a specific country setting. It is vital to be aware of the sensitivity of the population and environmental characteristics of a country before starting to change the system of primary care.
SN  - 978-1-78973-354-9, 978-1-78973-351-8/
DO  - 10.1108/978-1-78973-351-820191019
UR  - https://doi.org/10.1108/978-1-78973-351-820191019
AU  - Kocken Paul
AU  - Vlasblom Eline
AU  - de Lijster Gaby
AU  - Wells Helen
AU  - van Kesteren Nicole
AU  - van Zoonen Renate
AU  - Zdunek Kinga
AU  - Reijneveld Sijmen A.
AU  - Blair Mitch
AU  - Alexander Denise
ED  - Mitch Blair
ED  - Michael Rigby
ED  - Denise Alexander
PY  - 2019
Y1  - 2019/01/01
TI  - The Transferability of Primary Child Healthcare Systems
T2  - Issues and Opportunities in Primary Health Care for Children in Europe
PB  - Emerald Publishing Limited
SP  - 331
EP  - 344
Y2  - 2024/04/25
ER  -