Swedish Child Health Services Register: a quality register for child health services and children’s well-being

Background Swedish child health services (CHS) is a free-of-charge healthcare system that reaches almost all children under the age of 6. The aim for the CHS is to improve children’s physical, psychological and social health by promoting health and development, preventing illness and detecting emerg...

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Main Authors: Thomas Wallby, Anna Erica Fäldt, Karin Berg, Mattias Wennergren, Ann-Sofie Frisk Cavefors, Helena Edin, Leif Ekholm, Lars Gelander, Marie Golsäter, Jennie Hedman, Anton Holmgren, Frida Karlsson Videhult, Anna Levin, Sven Arne Silfverdal
Format: Article
Language:English
Published: BMJ Publishing Group 2023-10-01
Series:BMJ Paediatrics Open
Online Access:https://bmjpaedsopen.bmj.com/content/7/1/e001805.full
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author Thomas Wallby
Anna Erica Fäldt
Karin Berg
Mattias Wennergren
Ann-Sofie Frisk Cavefors
Helena Edin
Leif Ekholm
Lars Gelander
Marie Golsäter
Jennie Hedman
Anton Holmgren
Frida Karlsson Videhult
Anna Levin
Sven Arne Silfverdal
author_facet Thomas Wallby
Anna Erica Fäldt
Karin Berg
Mattias Wennergren
Ann-Sofie Frisk Cavefors
Helena Edin
Leif Ekholm
Lars Gelander
Marie Golsäter
Jennie Hedman
Anton Holmgren
Frida Karlsson Videhult
Anna Levin
Sven Arne Silfverdal
author_sort Thomas Wallby
collection DOAJ
description Background Swedish child health services (CHS) is a free-of-charge healthcare system that reaches almost all children under the age of 6. The aim for the CHS is to improve children’s physical, psychological and social health by promoting health and development, preventing illness and detecting emerging problems early in the child’s life. The services are defined in a national programme divided into three parts: universal interventions, targeted interventions and indicated interventions.The Swedish Child Health Services Register (BHVQ) is a national Quality Register developed in 2013. The register extracts data from the child’s health record and automatically presents current data in real time. At present, the register includes 21 variables.Aim We aim to describe data available in the BHVQ and the completeness of data in BHVQ across variables.Methods Child-specific data were exported from the register, and data for children born in the regions were retrieved from Statistics Sweden to calculate coverage.Results The register includes over 110 000 children born between 2011 and 2022 from 221 child healthcare centres in eight of Sweden’s 21 regions. In seven of the eight regions, 100% of centres report data.The completeness of data differs between participating regions and birth cohorts. The average coverage for children born in 2021 is 71%.Conclusions The BHVQ is a valuable resource for evaluating Child Health Services nationally, with high coverage for the youngest children. As a result of continuous improvement of the services, the possibility to follow the development of children’s health in Sweden is possible through the register. When fully expanded, the register will be a natural and essential part of developing preventive services, improving healthcare for children below 6 years of age and a tool for developing evidence-based child health interventions.
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spelling doaj.art-576ddc0f91cc4bcb9bdd7a88ec50ebd32024-02-14T01:50:10ZengBMJ Publishing GroupBMJ Paediatrics Open2399-97722023-10-017110.1136/bmjpo-2022-001805Swedish Child Health Services Register: a quality register for child health services and children’s well-beingThomas Wallby0Anna Erica Fäldt1Karin Berg2Mattias Wennergren3Ann-Sofie Frisk Cavefors4Helena Edin5Leif Ekholm6Lars Gelander7Marie Golsäter8Jennie Hedman9Anton Holmgren10Frida Karlsson Videhult11Anna Levin12Sven Arne Silfverdal13Department of Womens and Childrens Health, Uppsala Universitet, Uppsala, SwedenDepartment of Public Health and Caring Sciences, Uppsala Universitet, Uppsala, SwedenCentre of Child Health Services, Regionhälsan, Region Västra Götaland, Borås, SwedenResearch, Education, Development and Innovation, Primary Health Care, Region Västra Götaland, Göteborg, SwedenCentre of Child Health Services, Regionhälsan, Region Västra Götaland, Göteborg, SwedenCentre of Child Health Services, Department of Children`s Health, Academic Hospital, Region Uppsala, Uppsala, SwedenCentre of Child Health Services, Regional Office, Region Örebro län, Örebro, SwedenDepartment of Physiology/Endocrinology, Institute of Neuroscience & Physiology, University of Gothenburg Sahlgrenska Academy, Göteborg, SwedenChild Health Services, Futurum—Academy for Health and Care, Region Jönköping County, Jönköping, SwedenLocal Health Care, Centre of Child Health Services, Region Jämtland Härjedalen, Östersund, SwedenDepartment of Pediatrics, Institute of Clinical Sciences, University of Gothenburg Sahlgrenska Academy, Göteborg, SwedenDepartment of Clinical Sciences, Pediatrics, Umeå University, Umeå, SwedenDepartment of Pediatrics, Institute of Clinical Sciences, Region Gotland, Visby, SwedenDepartment of Clinical Sciences, Pediatrics, Umeå University, Umeå, SwedenBackground Swedish child health services (CHS) is a free-of-charge healthcare system that reaches almost all children under the age of 6. The aim for the CHS is to improve children’s physical, psychological and social health by promoting health and development, preventing illness and detecting emerging problems early in the child’s life. The services are defined in a national programme divided into three parts: universal interventions, targeted interventions and indicated interventions.The Swedish Child Health Services Register (BHVQ) is a national Quality Register developed in 2013. The register extracts data from the child’s health record and automatically presents current data in real time. At present, the register includes 21 variables.Aim We aim to describe data available in the BHVQ and the completeness of data in BHVQ across variables.Methods Child-specific data were exported from the register, and data for children born in the regions were retrieved from Statistics Sweden to calculate coverage.Results The register includes over 110 000 children born between 2011 and 2022 from 221 child healthcare centres in eight of Sweden’s 21 regions. In seven of the eight regions, 100% of centres report data.The completeness of data differs between participating regions and birth cohorts. The average coverage for children born in 2021 is 71%.Conclusions The BHVQ is a valuable resource for evaluating Child Health Services nationally, with high coverage for the youngest children. As a result of continuous improvement of the services, the possibility to follow the development of children’s health in Sweden is possible through the register. When fully expanded, the register will be a natural and essential part of developing preventive services, improving healthcare for children below 6 years of age and a tool for developing evidence-based child health interventions.https://bmjpaedsopen.bmj.com/content/7/1/e001805.full
spellingShingle Thomas Wallby
Anna Erica Fäldt
Karin Berg
Mattias Wennergren
Ann-Sofie Frisk Cavefors
Helena Edin
Leif Ekholm
Lars Gelander
Marie Golsäter
Jennie Hedman
Anton Holmgren
Frida Karlsson Videhult
Anna Levin
Sven Arne Silfverdal
Swedish Child Health Services Register: a quality register for child health services and children’s well-being
BMJ Paediatrics Open
title Swedish Child Health Services Register: a quality register for child health services and children’s well-being
title_full Swedish Child Health Services Register: a quality register for child health services and children’s well-being
title_fullStr Swedish Child Health Services Register: a quality register for child health services and children’s well-being
title_full_unstemmed Swedish Child Health Services Register: a quality register for child health services and children’s well-being
title_short Swedish Child Health Services Register: a quality register for child health services and children’s well-being
title_sort swedish child health services register a quality register for child health services and children s well being
url https://bmjpaedsopen.bmj.com/content/7/1/e001805.full
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