Background The evaluation of child healthcare is not yet widely explored, especially from a cross-country comparison perspective. The routine adoption of measures by national assessment agencies is under-investigated. Though the guiding principles developed at international level call for a child-centric multi-dimensional evaluation of child care, its feasibility is hampered by the availability of robust and harmonized data. Methods To explore the data availability, international databases (IDBs) were scrutinized and measures dealing with child health-related issues were collated. In parallel, an ad hoc questionnaire was administrated to 30 Country Agents (CAs) to gather measures routinely adopted at local level. To facilitate the comparison of measures, a three-level conceptual map was developed. Results The IDBs yielded at 207 measures that pertained mainly to non-health determinants of health, whereas the 352 measures obtained from CAs focused on process and outcome. A set of 33 common measures that related to immunization, morbidity and mortality were identified. Conclusions A limited set of measures used both in IDBs and at national level identify common areas of concerns that certainly capture crucial issues with child prevention and health outcomes. However, they are far from satisfying a child-centric multi-dimensional approach to the evaluation of child well-being and well-becoming. There is room for improvement at both international and national levels. IDBs should include and harmonize measures that concern the provision of child-centric services and encompass physical, social and mental development. At the national level, efforts towards the inclusion of measures that concern non-health determinants of health should be pursued.

中文翻译：

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欧洲国家儿童医疗保健质量：国际数据库和国家机构的共同衡量标准

背景 儿童保健的评估尚未得到广泛探索，特别是从跨国比较的角度来看。对国家评估机构例行采取的措施的调查不足。尽管在国际层面制定的指导原则要求对儿童保育进行以儿童为中心的多维评估，但其可行性受到可靠和统一数据的阻碍。方法 为了探索数据的可用性，审查了国际数据库 (IDB)，并整理了处理儿童健康相关问题的措施。同时，向 30 个国家代理 (CA) 发放了一份特别问卷，以收集地方一级常规采取的措施。为了便于比较措施，开发了一个三级概念图。结果 IDB 产生了 207 项措施，主要与健康的非健康决定因素有关，而从 CA 获得的 352 项措施侧重于过程和结果。确定了一组与免疫、发病率和死亡率相关的 33 项常见措施。结论 在 IDB 和国家层面使用的一组有限的措施确定了共同关注的领域，这些领域肯定涉及儿童预防和健康结果的关键问题。然而，它们远不能满足以儿童为中心的多维方法来评估儿童的幸福感和幸福感。在国际和国家层面都有改进的余地。美洲开发银行应纳入和协调与提供以儿童为中心的服务有关的措施，并涵盖身体、社会和心理发展。在国家层面，