Title

Identified health concerns and changes in management resulting from the healthy kids check in two queensland practices

Date of this Version

10-6-2014

Document Type

Journal Article

Publication Details

Citation only

Thomas, R., Doust, J. A., Vasan, K., Rajapakse, B., McGregor, L., Ackermann, E., & Del Mar, C. B. (2014). Identified health concerns and changes in management resulting from the healthy kids check in two queensland practices. The Medical Journal of Australia, 201(7), 404.

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© Copyright, Australasian Medical Publishing Company Pty. Ltd., 2014

ISSN

0025-729X

Abstract

Objectives: To determine how many children had health problems identified by the Healthy Kids Check (HKC) and whether this resulted in changes to clinical management. Design, setting and participants: A medical records audit from two Queensland general practices, identifying 557 files of children who undertook an HKC between January 2010 and May 2013. Main outcome measures: Child health problems identified in the medical records before, during and after the HKC. Results: Most children in our sample had no problems detected in their medical record (56%), 21% had problems detected during the HKC assessment, 19% had problems detected before, and 4% after. Most frequent health concerns detected during the HKC were speech and language (20%), toileting, hearing and vision (15% each), and behavioural problems (9%). Of the 116 children with problems detected during the HKC, 19 (3% of the total sample) had these confirmed, which resulted in a change of management. No further action was recorded for 9% of children. Missing data from reviews or referral outcomes for 8% precluded analyses of these outcomes. We estimated that the change in clinical management to children with health concerns directly relating to the HKC ranged between 3% and 11%.

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This document has been peer reviewed.