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Review
. 2017 Aug 30;43(1):76.
doi: 10.1186/s13052-017-0394-4.

Humanization of pediatric care in the world: focus and review of existing models and measurement tools

Marina Tripodi  1 , Maria Anna Siano  1 , Claudia Mandato  2 , Anna Giulia Elena De Anseris  3 , Paolo Quitadamo  2 , Salvatore Guercio Nuzio  3 , Claudia Viggiano  1 , Francesco Fasolino  1 , Annalisa Bellopede  3 , Maria Annunziata  3 , Grazia Massa  3 , Francesco Maria Pepe  3 , Maria De Chiara  3 , Paolo Siani  2 , Pietro Vajro  4   5
Affiliations
Review

Humanization of pediatric care in the world: focus and review of existing models and measurement tools

Marina Tripodi et al. Ital J Pediatr. .

Abstract

Background: The term "humanization" indicates the process by which people try to make something more human and civilized, more in line with what is believed to be the human nature. The humanization of care is an important and not yet a well-defined issue which includes a wide range of aspects related to the approach to the patient and care modalities. In pediatrics, the humanization concept is even vaguer due to the dual involvement of both the child and his/her family and by the existence of multiple proposed models.

Objective: The present study aims to analyze the main existing humanization models regarding pediatric care, and the tools for assessing its grade.

Results: The main Humanization care programs have been elaborated and developed both in America (Brazil, USA) and Europe. The North American and European models specifically concern pediatric care, while the model developed in Brazil is part of a broader program aimed at all age groups. The first emphasis is on the importance of the family in child care, the second emphasis is on the child's right to be a leader, to be heard and to be able to express its opinion on the program's own care. Several tools have been created and used to evaluate humanization of care programs and related aspects. None, however, had been mutually compared.

Conclusions: The major models of humanization care and the related assessment tools here reviewed highlight the urgent need for a more unifying approach, which may help in realizing health care programs closer to the young patient's and his/her family needs.

Keywords: Child-friendly healthcare; Family centered care; Humanization; Pediatric care.

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Competing interests

The authors declare that they have no competing interests.

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Figures

Fig. 1
Fig. 1
Synopsis of the principles of humanization of pediatric care expressed by/in different associations and international documents (AAP, TAT, UNCRC, CFHC) Colors and abbreviations used: Red: American Academy of Pediatrics (AAP); Green: Child Friendly Healthcare [(The United Nations Convention on the Rights of the Child (UNCRC)]. Light blue: Think and Action Tank (TAT) on the Child Right to Health (EPA European Pediatric Association). Orange: 12 Standards of the Child Friendly [(UNO-UNCRC)(CFHC child-friendly healthcare)]
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