Statement of Minimal Acceptable Care in Paediatric Endocrinology Global Inequalities in Pediatric Endocrine Care Martin O ...
Statement of Minimal Acceptable Care in Paediatric Endocrinology <ul><li>Public health measures </li></ul><ul><li>Preventi...
Statement of Minimal Acceptable Care in Paediatric Endocrinology <ul><li>A standard of education should be reached which r...
<ul><li>Prevention of disease </li></ul><ul><li>Establishment of public health programs to optimise maternal nutrition and...
Statement of Minimal Acceptable Care in Paediatric Endocrinology <ul><li>Diagnosis </li></ul><ul><li>Access to paediatrici...
Statement of Minimal Acceptable Care in Paediatric Endocrinology <ul><li>Treatment </li></ul><ul><li>Identification of fin...
Global Inequalities in Paediatric Endocrine Care Specific Recommendations for the Paediatric Endocrinology Community
<ul><li>Develop professional clinical training through short fellowship programs based on the active links established thr...
The endocrine community should; <ul><li>Establish a reagent bank to help set up, in the developing world, the required ass...
 
Upcoming SlideShare
Loading in …5
×

Statement of Minimal Acceptable Care in Paediatric Endocrinology

267 views
210 views

Published on

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
267
On SlideShare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
3
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Statement of Minimal Acceptable Care in Paediatric Endocrinology

  1. 1. Statement of Minimal Acceptable Care in Paediatric Endocrinology Global Inequalities in Pediatric Endocrine Care Martin O Savage, London, United Kingdom Fernando Cassorla, Santiago, Chile ESPE/LWPES Lyon 21-24 September, 2005
  2. 2. Statement of Minimal Acceptable Care in Paediatric Endocrinology <ul><li>Public health measures </li></ul><ul><li>Prevention of disease </li></ul><ul><li>Diagnosis </li></ul><ul><li>Treatment </li></ul>
  3. 3. Statement of Minimal Acceptable Care in Paediatric Endocrinology <ul><li>A standard of education should be reached which results in an increase in the interval between menarche and pregnancy and modification of maternal workload. </li></ul><ul><li>Improvement in paediatric and adolescent nutritional status achieving BMI between -2 and +2 SD. </li></ul><ul><li>Education programs providing awareness of benefits of breast feeding, balanced nutrition and regular exercise. </li></ul><ul><li>Effective primary health care programs to identify children failing to thrive and grow. </li></ul>Public Health measures
  4. 4. <ul><li>Prevention of disease </li></ul><ul><li>Establishment of public health programs to optimise maternal nutrition and prevent fetal growth failure. </li></ul><ul><li>Organisation of measures to prevent deficiencies of essential nutrients such as iodine and vitamin D. </li></ul><ul><li>Establishment of national growth curves to detect deviations from normal height and weight. Links to academic departments in developed countries may be necessary to achieve this. </li></ul><ul><li>Establishment of national screening programs for congenital hypothyroidism. </li></ul>Statement of Minimal Acceptable Care in Paediatric Endocrinology
  5. 5. Statement of Minimal Acceptable Care in Paediatric Endocrinology <ul><li>Diagnosis </li></ul><ul><li>Access to paediatricians, ideally trained in endocrinology, to care for children with endocrine disorders. </li></ul><ul><li>Availability of central laboratories with standardised, quality controlled assays for measurement of basic peptide and steroid hormones. </li></ul><ul><li>3. Access to radiological equipment and trained radiologists with ability to diagnose endocrine disorders, particularly those that are life-threatening. </li></ul>
  6. 6. Statement of Minimal Acceptable Care in Paediatric Endocrinology <ul><li>Treatment </li></ul><ul><li>Identification of financial resources to guarantee availability of sufficient supplies of internationally approved synthetic hormones for treatment of basic endocrine deficiencies. </li></ul><ul><li>Availability of medications for control of states of hormonal excess such as precocious puberty and hyperthyroidism. </li></ul><ul><li>3. Establishment of standards of international accreditation for centres and physicians involved in the management of endocrine disorders in children. </li></ul>
  7. 7. Global Inequalities in Paediatric Endocrine Care Specific Recommendations for the Paediatric Endocrinology Community
  8. 8. <ul><li>Develop professional clinical training through short fellowship programs based on the active links established through our sister societies. </li></ul><ul><li>Develop laboratory training programs to set up essential assays for the diagnosis of endocrine disorders in the developing world. </li></ul>The endocrine community should;
  9. 9. The endocrine community should; <ul><li>Establish a reagent bank to help set up, in the developing world, the required assays for diagnosis and treatment of endocrine disorders. </li></ul><ul><li>Establish an international bank of medications to provide treatment, such as insulin and GH, at a reduced cost for life-threatening and chronic endocrine disorders in the developing world. </li></ul>

×