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Autor
Alpay, Harika 1 Awan, Atif 1 Beishebaeva, Nasira 1 Bjerre, Anna 1 Brandström, Per 1 Ciuntu, Angela 1 Dudley, Jan 1 Edvardsson, Vidar O 1 Ehrich, Jochen 1 Elia, Avraam 1 Espino-Hernández, Mar 1 Faerch, Mia 1 Fataliyeva, Rena 1 Haffner, Dieter 1 Hoyer, Peter F 1 Ivanov, Dmytro 1 Jankauskiene, Augustina 1 Jeruma, Edite 1 Kataja, Janne 1 Kazyra, Ina 1
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Pracoviště
1st Department of Pediatrics Belarusi... 1 1st Department of Pediatrics Semmelwe... 1 Arabkir Joint Medical Centre Yerevan ... 1 Bērnu Slimību Klīnika Nefroloģijas Pr... 1 Children's Hospital Hannover Medical ... 1 Clinical Center of Montenegro Institu... 1 Department for Paediatric Nephrology ... 1 Department of Child and Adolescent He... 1 Department of Multidisciplinary Pedia... 1 Department of Nephrology Kazakh Natio... 1 Department of Nephrology National Cen... 1 Department of Paediatric Nephrology B... 1 Department of Paediatric Nephrology E... 1 Department of Paediatrics Archbishop ... 1 Department of Paediatrics and Adolesc... 1 Department of Pediatric Nephrology Ch... 1 Department of Pediatric Nephrology Ha... 1 Department of Pediatric Nephrology Mi... 1 Department of Pediatric Nephrology Un... 1 Department of Pediatric Nephrology Un... 1
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Autor
Alpay, Harika 1 Awan, Atif 1 Beishebaeva, Nasira 1 Bjerre, Anna 1 Brandström, Per 1 Ciuntu, Angela 1 Dudley, Jan 1 Edvardsson, Vidar O 1 Ehrich, Jochen 1 Elia, Avraam 1 Espino-Hernández, Mar 1 Faerch, Mia 1 Fataliyeva, Rena 1 Haffner, Dieter 1 Hoyer, Peter F 1 Ivanov, Dmytro 1 Jankauskiene, Augustina 1 Jeruma, Edite 1 Kataja, Janne 1 Kazyra, Ina 1
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Pracoviště
1st Department of Pediatrics Belarusi... 1 1st Department of Pediatrics Semmelwe... 1 Arabkir Joint Medical Centre Yerevan ... 1 Bērnu Slimību Klīnika Nefroloģijas Pr... 1 Children's Hospital Hannover Medical ... 1 Clinical Center of Montenegro Institu... 1 Department for Paediatric Nephrology ... 1 Department of Child and Adolescent He... 1 Department of Multidisciplinary Pedia... 1 Department of Nephrology Kazakh Natio... 1 Department of Nephrology National Cen... 1 Department of Paediatric Nephrology B... 1 Department of Paediatric Nephrology E... 1 Department of Paediatrics Archbishop ... 1 Department of Paediatrics and Adolesc... 1 Department of Pediatric Nephrology Ch... 1 Department of Pediatric Nephrology Ha... 1 Department of Pediatric Nephrology Mi... 1 Department of Pediatric Nephrology Un... 1 Department of Pediatric Nephrology Un... 1
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Free Medical Journals od 2013
PubMed Central od 2013
Europe PubMed Central od 2013
Open Access Digital Library od 2013-01-01
Open Access Digital Library od 2013-01-01
ROAD: Directory of Open Access Scholarly Resources od 2013
PubMed
38292210
DOI
10.3389/fped.2024.1327422
Knihovny.cz E-zdroje
BACKGROUND: Primary, secondary and tertiary healthcare services in Europe create complex networks covering pediatric subspecialties, sociology, economics and politics. Two surveys of the European Society for Paediatric Nephrology (ESPN) in 1998 and 2017 revealed substantial disparities of kidney care among European countries. The purpose of the third ESPN survey is to further identify national differences in the conceptualization and organization of European pediatric kidney health care pathways during and outside normal working hours. METHODS: In 2020, a questionnaire was sent to one leading pediatric nephrologist from 48 of 53 European countries as defined by the World Health Organization. In order to exemplify care pathways in pediatric primary care nephrology, urinary tract infection (UTI) was chosen. Steroid sensitive nephrotic syndrome (SSNS) was chosen for pediatric rare disease nephrology and acute kidney injury (AKI) was analyzed for pediatric emergency nephrology. RESULTS: The care pathways for European children and young people with urinary tract infections were variable and differed during standard working hours and also during night-time and weekends. During daytime, UTI care pathways included six different types of care givers. There was a shift from primary care services outside standard working hours to general outpatient polyclinic and hospital services. Children with SNSS were followed up by pediatric nephrologists in hospitals in 69% of countries. Patients presenting with community acquired AKI were admitted during regular working hours to secondary or tertiary care hospitals. During nights and weekends, an immediate shift to University Children's Hospitals was observed where treatment was started by intensive care pediatricians and pediatric nephrologists. CONCLUSION: Gaps and fragmentation of pediatric health services may lead to the risk of delayed or inadequate referral of European children with kidney disease to pediatric nephrologists. The diversity of patient pathways outside of normal working hours was identified as one of the major weaknesses in the service chain.
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