Work Package 7

Ensuring equity for all children in all models: led by Professor Anders Hjern

This work package will review the literature on how socioeconomic and sociocultural differences affect outcomes in different primary care models for children. Looking at socio-economic status (SES), single parent households, and migrant/minority family backgrounds we will compare children’s outcomes with the performance of the child health services using large primary care datasets. Specifically, we will identify and analyse the differences in vaccination rates and participation in screening programmes in families in specific circumstances as they interact with different health care models – those in with a generalist physician centred primary care model (Denmark); those in a primary care paediatrician centred model (Italy); and those with a nurse centred primary care model (Sweden). The Danish and Swedish models will also be compared with those in Australia.

We will describe the national policies in Europe for primary care for children with different migrant backgrounds (undocumented children, asylum seeking, newly settled, born in Europe) in comparison to Australia. We will review the literature on health care models for children in the child welfare system (coordinating with WP2 task 3 on social care provision); and we will describe the diverse health care models for children in the child welfare system in Europe (coordinating with wp2 task 3 on social care provision).