Evidence map›Paper›PMID 41342290›Full record

ArticleActa paediatrica (Oslo, Norway : 1992)2026

Paediatric Primary Care Across Europe: A Survey of 42 Countries.

Nora Karara, Antonio Corsello, Stefano Del Torso, Adamos Hadjipanayis, Christine Magendie, Diego van Esso, Zachi Grossman, European Academy of Paediatrics and the European Confederation of Primary Care Paediatricians

Abstract read
In one paragraph

Article in Acta paediatrica (Oslo, Norway : 1992), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nora KararaEuropean Academy of Paediatrics, Brussels, Belgium.
Antonio CorselloEuropean Academy of Paediatrics, Brussels, Belgium.ORCID 0000-0003-4578-0066
Stefano Del TorsoEuropean Academy of Paediatrics, Brussels, Belgium.
Adamos HadjipanayisEuropean Academy of Paediatrics, Brussels, Belgium.
Christine MagendieEuropean Academy of Paediatrics, Brussels, Belgium.
Diego van EssoEuropean Academy of Paediatrics, Brussels, Belgium.
Zachi GrossmanEuropean Academy of Paediatrics, Brussels, Belgium.ORCID 0000-0002-0656-884X
European Academy of Paediatrics and the European Confederation of Primary Care Paediatricians

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study provides an updated overview of primary care for children and adolescents across Europe, investigating how systems are evolving and identifying progress and persistent gaps in healthcare models, workforce challenges and digital health integration. This study draws implications for policy makers to improve the quality of paediatric care in Europe.

methodsA cross-sectional survey was conducted among national delegates of the European Academy of Paediatrics and the European Confederation of Primary Care Paediatricians. Respondents from 42 member countries provided standardised, national-level data on real-world implementation.

resultsPaediatrician-led, general practitioner-led, and combined models were reported in 28.6%, 26.2% and 45.2% of 42 countries, respectively. Eight countries (28.6%) changed their delivery models between 2010 and 2024, most transitioning toward combined care. Paediatricians' involvement declined with patient age, while general practitioners' involvement increased. Only 35.9% of countries achieved fully interoperable electronic health records. Preventive care delivery, adolescent health visits and training duration in primary paediatric care revealed critical gaps.

conclusionsDespite progress in care integration and digital uptake, major disparities remain for adolescents, digital infrastructure and training quality. Future paediatric primary care models must harmonise training, address regional disparities and invest in interoperable digital health systems to ensure equitable, high-quality care.

Indexed as

PediatricsPrimary Health CareAdolescentChildCross-Sectional StudiesEuropeHealth Care SurveysHumansadolescent healthchild healthchildrendigital healthelectronic health recordshealth workforcenursespaediatric primary care

Identifiers

PMID41342290
PMCPMC12975683

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.