Abstract

There are many societal developments in The Netherlands, such as a rising and changing demand for care and support and a paradigm shift from curation to prevention, that currently—and in the near future—will have an impact on paediatric care. These developments both reveal potential risks in paediatric care and affect practices that require future improvement. In this viewpoint, we first present the most pressing developments for paediatrics, and we demonstrate why and how Dutch paediatricians have renewed their vision on paediatric care in order to cope with a changing society. It is a vision towards the year 2030 that gives children and paediatric care the right place in the Dutch healthcare landscape to guarantee accessible, high-quality, and effective care for every child at the right time. Realising this renewed vision requires however not only an adjustment from paediatricians and paediatricians in training, but also from professionals who work with them and from the Government that can facilitate or accelerate the implementation of the renewed vision in various ways.

Highlights

  • Paediatric care in The Netherlands deals with the treatment of children aged 0 to 18 years

  • According of the website of the Dutch Healthcare Authority, which provides care and treatment data supplied by Dutch hospitals, this number is lower than previous years (452,138 in 2019 and 447,081 in 2018) because of the COVID-19 pandemic [2]

  • Regular paediatric care in The Netherlands has been scaled down and fewer children turned to the emergency room, for e.g., traffic accidents and viral infections

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Summary

Introduction

Paediatric care in The Netherlands deals with the treatment of children aged 0 to 18 years. The following conditions do appear in the further top 10 across all three years, albeit in different positions: upper respiratory infections, constipation, chronic recurrent abdominal pain, food allergy, short stature/deflecting height growth curve, cotreatment: nutrition/hydration policy/antibiotics, pain relief (2018 and 2020) In addition to this stability in complaints and disorders with which children present themselves to. Res. Public Health 2022, 19, 1037 the paediatrician, changes can be noted: whereas lower respiratory infection were presented in 2–2.1% of the children in respectively in 2018 and 2019. Public Health 2022, 19, 1037 the paediatrician, changes can be noted: whereas lower respiratory infection were presented in 2–2.1% of the children in respectively in 2018 and 2019 It only concerned 1.3% of the children in 2020. Trends and Developments That Require a Different Focus and Organisation of Paediatric Care

A Rising and Changing Demand for Care and Support
Towards an Ideal and Flexible Doctor–Patient Collaboration
Paradigm Shift from Curation to Prevention
Implementation of Building blocks
Building Block 1: A Solid Foundation of Paediatric Care
Building Block 2
Building Block 3
Building Block 4
Who and What Is Needed to Realise This Renewed Vision?
Findings
Conclusions
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