CHILD SPECIFIC INDICATORS OF VISIT 5.7. Health Care A. ACCESS TO MEDICAL CARE (ASSESSMENT, DOCUMENTATION, INFORMATION) Do children have access to equivalent care services with those enjoyed by patients in the outside community? Does the health/medical care services for children constitute an integrated part of a multidisciplinary (medico-psycho-social) programme of care? ASK: Children | Staff (medical staff) | Director OBSERVE: ʺʺ Health facilities, equipment, see whether they allow privacy, whether they are well equipped, clean, respectful of the child’s dignity ʺʺ Pharmaceutical Materials, see whether they are correctly administered and correctly stored ʺʺ State of health of children, see whether s/he seems in good overall health CHECK: ʺʺ Individual programme, see whether it includes adequate (preventive and remedial) health/ medical care services (including dental services, ophthalmologist, psychiatric, psychological and counselling services + pharmaceutical product and special diets) and whether it includes health education ʺʺ Medical registers, see whether the individual programme has been established on the basis of the first interview and physical examination done upon arrival to the facility ʺʺ Availability and suitability of health facilities and health professionals inside the facility and of services of the local community ʺʺ Co-ordination between the work of an establishment’s health-care team (doctors, nurses, psychologists, etc.) that of other staff including specialised educators, social workers and teachers, and that of external services ʺʺ Medical registers, see whether the child has been examined on a regular basis, by which health-care professional (inside or outside the facility), if a follow up has been done when needed, under which treatment s/he is, the illness-injuries-pains-trauma s/he complained about or has been treated for, the potential connections of dates between incidents and injuries; see how often they are updated ʺʺ Observance of medical confidentiality, see whether the examinations of children are conducted out of the hearing and out of the sight of non-medical staff ʺʺ Waiting list, see how long children have to wait on average to be provided with the appropriate health care services ʺʺ Perception of children of the health/medical care services 135 5