Een uniform triageprotocol voor het signaleren van risicofactoren bij basisschoolkinderen door de jeugdgezondheidszorg [A uniform triage protocol to identify health risks in primary school children by Preventive Child Healthcare]
article
Introduction. A uniform triage protocol is developed for Preventive Child Healthcare (PCH) to improve the quality of detection of health problems in primary school children by PCH. The aim of this study is to investigate 1) the psychometric properties and 2) satisfaction of PCH professionals of this uniform triage protocol. Methods. We included 459 primary school children undergoing routine health assessments in two PCH organizations. Parent reported child problems and PCH registry data were used. The validity of the protocol is assessed (sensitivity and specificity), with problems identified by PCH professionals and performing additional actions (additional assessment or referral) as criteria. Next, the satisfaction with the protocol is investigated by interviewing eight professionals. Results. The sensitivity (true positive) of the uniform triage protocol was moderate to good, 0.73 for the identification of any problems, and 0.91 for additional PCH actions. The specificity (true negative) was lower, respectively 0.62 and 0.41. Professionals were satisfied with the uniform triage protocol. Conclusion. Only a few children with health risks were missed by the uniform triage protocol. Furthermore, professionals were satisfied about the usability of the protocol. Future research is needed to confirm these findings and to assess whether this approach fits with the needs of parents.
Topics
TNO Identifier
970725
Source
TSG Tijdschrift voor gezondheidswetenschappen, 100(2), pp. 32-39.
Pages
32-39