The Evaluation of Well-Child Monitoring Data in Turkey

Year 2017, Volume: 4 Issue: 2, 6 - 10, 01.08.2017

Yaşar Topal Hatice Topal Betül Battaloğlu İnanç Hatice Hicret Özkoç

Abstract

Well-child
surveillance offers very useful opportunities for the delivery of
evidence-based preventive health services and the healthy growth and
development of children. The aim of the study was to evaluate the
implementation of Well-child monitoring in our country. By using the microdata
of Turkey Health Survey (2014) of the Turkish Statistical Institute (TUIK), a
cross-sectional study was carried out. With in the scope of the study, the
results of the questionnaires on the data of 3025 individuals between 0-6 years
of age were evaluated. 922 (30.5%) of the children were brought to the health
institution for a routine control at least once during the period when they
were healthy in the last 12 months. Among the ones with the lowest incomes, the
ratio of those, who were , was the lowest (21.3%).In our country, monitoring
purposes are inadequate during periods when children are healthy and the level
of income affects the rate of well-child monitoring.

Keywords

Data, Monitoring, Well-child

Türkiye’de Sağlam Çocuk İzlemi Verilerinin Değerlendirilmesi

Abstract

Sağlam çocuk izlemleri, kanıta dayalı koruyucu
sağlık hizmetlerinin sunulması ve çocukların sağlıklı büyüyüp gelişmesinde çok
yararlı fırsatlar sunmaktadır. Çalışma ile ülkemizdeki sağlam çocuk izlem uygulamasının
değerlendirilmesi amaçlanmıştır. Türkiye İstatistik Kurumu (TÜİK)’nun Türkiye
Sağlık Araştırması 2014 yılı mikro verileri kullanılarak kesitsel bir araştırma
yapılmıştır. Çalışma kapsamında 0-6 yaş arasında bulunan toplam 3025 bireye ait
veriler üzerinde yapılan anket sonuçlarının değerlendirilmesi yapılmıştır. Çocukların
922 (%30.5)’si son 12 ay içinde sağlıklı olduğu dönemde (rutin kontrol için) en
az bir kez sağlık kuruluşuna getirilmiştir. Gelir düzeyi en düşük olanlarda
rutin sağlam çocuk kontrolüne getirilenlerin oranı en düşük (%21.3) bulundu. Ülkemizde
çocukların sağlıklı olduğu dönemlerde kontrol amaçlı izlemlerinin yetersiz
olduğu ve gelir düzeyinin, ailelerin çocuklarının izleme getirilme oranlarını
etkilediği gözlenmiştir.

Keywords

İzlem, Sağlam Çocuk, Veriler

References

• 1. Simon GR, Baker C, Barden III GA, Brown OW, Hardin A, Lessin HR, et al. 2014 recommendations for pediatric preventive health care. Pediatrics. 2014;133(3):568-70.
• 2. Hagan JF, Shaw JS, Duncan PM. Bright Futures: Guidelines for health supervision of ınfants, children, and adolescents [pocket guide]. 4th edn. Elk Grove Village IL: American Academy of Pediatrics, 2017.
• 3. Coker TR, Chung PJ, Cowgill BO, Chen L, Rodriguez MA. Low-incomeparents’ views on the redesign of well-child care. Pediatrics. 2009;124:194-204.
• 4. Lifshitz F, Cervantes CD. Pediatric endocrinology. In: Lifshitz F, ed. Short stature. 1996;1-18. 3rd ed. New York: Marcel Dekker Inc. 5. Touwslager RN, Gielen M, Derom C, Mulder AL, Gerver WJ, Zimmermann LJ, et al. Determinants of infant growth in four age windows: a twin study. J Pediatr. 2011;158(4):566-72.
• 6. Palfrey JS, Singer JD, Walker DK, Butler JA. Early identification of children's special needs: A study in five metropolitan communities. Pediatr. 1987;111(5):651-9.
• 7. Fleegler EW, Lieu TA, Wise PH, Muret-Wagstaff S. Families' health-related social problems and missed referral opportunities. Pediatrics. 2007;119(6):e1332-41.
• 8. Stockwell EG, Goza FW. Racial differences in the relationship between infant mortality and socio-economic status. J BiosocSci. 1996;28:73–84.
• 9. Freid VM, Makuc DM, Rooks RN. Ambulatory healthcare visits by children: Principal diagnosis and place of visit. Vital Health Stat. 1998;137:1-23.
• 10. Perry CD, Kenney GM. Preventive care for children in low-income families: How will do medicaid and state children’s health insurance programs do? Pediatrics. 2007; 120(6):e1393–401.
• 11. Selden TM. Compliance with well-child visit recommendations: Evidence from the medical expenditure panel survey, 2000–2002. Pediatrics. 2006; 118(6):e1766–78.
• 12. National Association of Community Health Centers, Update on implementation of the FQHC prospective payment system in the States. 2012;42:1-17.
• 13. Riportella-Muller R, Selby-Harrington ML, Richardson LA, Donat PL, Luchok KJ, Quade D. Barriers to the use of preventive health care services for children. Public Health Reports. 1996;111(1):71–7.
• 14. Goedken AM, Urmie JM, Polgreen LA. Factors related to receipt of well-child visits in insured children. Matern Child Health J. 2014;18:744–54.
• 15. Earle LP, Burman ME. Benefits and barriers to well-child care: Perceptions of mothers in a rural state. Public Health Nursing. 1998;15(3):180–7.
• 16. Phillips RL, Dodoo MS, Mc Cann JL, Bazemore A, Fryer GE, Klein LS, et al. Report to the task force on the care of children by family physicians, 1st edn. Washington DC: Robert Graham Center, 2005.
• 17. Guendelman S, Wier M, Angulo V, Oman D. The effects of child only insurance cover age and family coverage on health care access and use: Recent findings among low-income children in California. Health Serv Res. 2006;41(1):125–47.
• 18. Chatoor I, Surles J, Ganiban J. Failure to thrive and cognitive development in toddlers with infantile anorexia. Pediatrics. 2004;113:440-7.
• 19. Shah MD. Failure to thrive in children. J Clin Gastroenterol. 2002;35:371-4.
• 20. Uddin SG, O’Connor KS, Ashman JJ. Physician office visits by children for well and problem-focused care: United States, 2012. NCHS data brief, no 248. 1st edn. Hyattsville, MD: National Center for Health Statistics, 2016.
• 21. Çelik S, Şahin F, Beyazova U, Can H. Growth status of children in well-baby out patient clinics and related factors. Türk PedArş. 2014;49:104-10.
• 22. Minkovitz C, Wissow L. Evaluating and using laboratory tests. In: McMillan JA, Feigin RD, DeAngelis C, Jones MD, eds. Oski's Pediatrics. Principles and practice. 2006; 95. 4th ed. Philadelphia PA: Lippincott Williams &Wilkins.
• 23. Fletcher RW, Fletcher SW. Clinical epidemiology. The Essentials. In: Fletcher RW, Fletcher SW, eds. Chapter 9. Prevention. 2005; 147-68. 4th ed. Philadelphia PA: Lippincott Williams &Wilkins.