Models of Child Health Appraised - UK study of 8 exemplar conditions
Research type
Research Study
Full title
Models of Child Health Appraised (MOCHA - A study of Primary Care in 30 European Countries): comparing 8 exemplar conditions in the UK
IRAS ID
229652
Contact name
Simon de Lusignan
Contact email
Sponsor organisation
University of Surrey
Duration of Study in the UK
3 years, 4 months, 1 days
Research summary
Background\n\nThe overall aim of the MOCHA project is to appraise the existing models of primary child healthcare in Europe, though a scientific and child-centric focus, with the ultimate objective of improving overall child health as a whole in Europe.\n\nThe aim of this present sub-study is to analyse the effect of individual and structural health services factors on selected child health outcomes in England. The main areas of focus are \n\nAsthma care\nEpilepsy care\nCare for children with diarrhoea and vomiting\nPrevention of rickets\nVaccine preventable disease\nPost-natal care\nTreatment of depression in teenagers\nTreatment of enuresis\n\nMethod\n\nThis is a health services study using routinely collected data. No clinical interventions will be implemented as part of this study.\n\nOur study will use data from a cohort of children using primary care services against a Structural Equation Model (SEM) to reveal any invariant “causal” relations. This will show whether the causal assumptions embedded in the model of primary care matches a sample of real-world data from children in England.\n\nExpected outcomes\n\nThe results of this work will provide scientific evidence of optimal models, tools to appraise quality and effectiveness locally, and evidence on how best to effect modernisation in a politico-cultural context. In identifying means of moving to optimal models of primary care delivery, including effective processes of implementation, it aims to stimulate achievement of more effective and efficient services, to reduce late diagnosis and sub-optimal care, and achieve better health in Europe for today’s children – tomorrow’s adults.
REC name
South West - Central Bristol Research Ethics Committee
REC reference
17/SW/0137
Date of REC Opinion
16 Jun 2017
REC opinion
Further Information Favourable Opinion