کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4164362 1607424 2016 26 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Child Health Systems in the United Kingdom (England)
ترجمه فارسی عنوان
سیستم های بهداشت کودک در انگلستان
کلمات کلیدی
خدمات کودکان؛ اقتصاد؛ مراقبت های بهداشت عمومی & E، حوادث و اورژانس؛ CAMHS، خدمات بهداشت روانی کودکان و نوجوانان؛ CCG، گروه راه اندازی بالینی؛ CPP، طرح حفاظت از کودکان؛ CQC، کمیسیون کیفیت مراقبت؛ تولید ناخالص ملی،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

Child health in the United Kingdom has improved markedly over recent decades but has failed to match health gains and reductions in mortality achieved by other European countries. Child poverty and inequalities are rising in the United Kingdom. The National Health Service (NHS) is a universally accessible health service, funded by taxation and is free at the point of use. The NHS is undergoing substantial reform, aiming to improve care quality and experience, meet rising demands, and contain costs. The NHS is struggling to balance access with expertise for urgent and unscheduled care. There is increasing use of urgent and emergency care, and there are unexplained variations in outcomes. Quality of care for children and young people with chronic and long-term conditions, including transition services, is variable and sometimes poor. Many determinants of noncommunicable conditions are worsening. Key achievements include a universal service free at the point of use, providing generally accessible, and equitable care. Key challenges include increasing fragmentation of services, insufficient emphasis on preventive care, achieving an effective balance between access and expertise of care for children, and improving child health and well-being outcomes despite generally high quality inputs and high levels of spending.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Pediatrics - Volume 177, Supplement, October 2016, Pages S217–S242
نویسندگان
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