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Organisational models of health services for children and adolescents in out‐of‐home care: Health technology assessment
Author(s) -
Mensah Tita,
Hjern Anders,
Håkanson Kickan,
Johansson Pia,
Jonsson Ann Kristine,
Mattsson Titti,
Tranæus Sofia,
Vinnerljung Bo,
Östlund Pernilla,
Klingberg Gunilla
Publication year - 2020
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.15002
Subject(s) - psycinfo , cinahl , inclusion (mineral) , medline , health care , relevance (law) , systematic review , psychology , nursing , medicine , family medicine , medical education , psychological intervention , social psychology , political science , law , economics , economic growth
Aim Decades of research confirm that children and adolescents in out‐of‐home care (foster family, residential care) have much greater health care needs than their peers. A systematic literature review was conducted to evaluate organisational health care models for this vulnerable group. Methods A systematic literature search was undertaken of the following databases: Academic Search Elite, CENTRAL, Cochrane Database of Systematic Reviews, Cinahl, DARE, ERIC, HTA, PsycInfo, Psychology and Behavioural Sciences Collection, PubMed, SocIndex. Randomised and non‐randomised controlled trials were to be included. Two pairs of reviewers independently assessed abstracts of the identified published papers. Abstracts meeting the inclusion criteria were ordered in full text. Each article was reviewed independently, by pairs of reviewers. A joint assessment was made based on the inclusion criteria and relevance. Cases of disagreement were resolved by consensus discussion. Results No study with low or medium risk of bias was identified. Conclusion In the absence of studies of acceptable quality, it is not possible to assess the impact of organisational models intended to ensure adequate health and dental care for children and adolescents in out‐of‐home care. Therefore, well‐designed follow‐up studies should be conducted following the implementation of such models.