Landmark project to improve care for children
CareTrack Kids is an internationally significant study into the standard of healthcare for children in Australia.
About the project
CareTrack Kids delivered findings in 2017 after a five-year Australia wide collaborative research project. By examining 17 common childhood conditions, the study measured how GPs and paediatricians adhere to clinical practice guideline recommendations and identified barriers that prevent appropriate delivery.
The study also measured the frequency and nature of adverse events involving children in our healthcare system, offering a unique opportunity to address safety deficiencies.
This research will underpin the future efficient, safe and effective delivery of healthcare to children in Australia.
Project outcomes
The project successfully:
- obtained national agreement on sets of indicators for management of 17 common paediatric conditions
- measured the appropriateness of healthcare delivered to children in Australia in acute healthcare settings
- measured the frequency and type of adverse events in children in Australia.
Project lead: Professor Peter Hibbert
Chief investigators
- Professor Jeffrey Braithwaite – Founding Director, Australian Institute of Health Innovation, Director, Centre for Healthcare Resilience and Implementation Science, Macquarie University
- Professor Chris Cowell – Director of Research, Sydney Children’s Hospitals Network
- Professor Mark Harris – Foundation Professor of General Practice, Centre for Primary Health Care and Equity, University of New South Wales
- Professor Adam Jaffé – John Beveridge Professor of Paediatrics, University of New South Wales
- Professor Les White – Chief Paediatrician, NSW and University of New South Wales
Associate investigators
- Associate Professor Stan Goldstein – Bupa Health Foundation
- Associate Professor Andrew Hallahan – Children’s Health Queensland
- Professor Cliff Hughes – Clinical Excellence Commission
- Associate Professor Annie Lau – AIHI, Macquarie University
- Associate Professor Elisabeth Murphy – NSW Kids and Families
- Professor Bill Runciman – Australian Patient Safety Foundation and University of South Australia
- Adjunct Professor John Wakefield – Children’s Health Queensland
- Dr Gavin Wheaton – South Australia Statewide Child Health Clinical Network
- Dr Helena Williams – General Practitioner, Board Member of Australian Commission on Safety and Quality in Healthcare
International advisory group
- Professor Sir Liam Donaldson – World Health Organisation, Imperial College, London, UK
- Dr Ed Kelley – World Health Organisation
- Dr Peter Lachman – Great Ormond St Hospital for Children NHS Trust, UK
- Professor Richard Lilford – University of Birmingham, UK
- Associate Professor Stephen Muething – Cincinnati Children’s Hospital Medical Center, Ohio, US
Project staff
- Professor Peter Hibbert – AIHI, Macquarie University
- Charli Molloy – AIHI, Macquarie University
- Dr Shanthi Ramanathan – UniSA
Clinical champions
- Dr Philip Coote – Royal Prince Alfred Hospital, NSW
- Professor Chris Cowell – Sydney Children’s Health Network, NSW
- Dr Sarah Dalton – Clinical Excellence Commission, NSW, The Children’s Hospital at Westmead, NSW
- Dr Paresh Dawda – Ochre Health, ACT
- Dr Bronwyn Gould – Paddington, NSW
- Associate Professor Andrew Hallahan – Lady Cilento Children’s Hospital, QLD
- Professor Mark Harris – Centre for Primary Health Care and Equity, UNSW
- Professor Adam Jaffe – Discipline of Paediatrics, School of Women’s and Children’s Health, UNSW
- Associate Professor Susan Moloney – Gold Coast University Hospital, QLD
- Dr David Moore – Women’s and Children’s Hospital, SA
- Dr Joanne Morris – School of Medicine, University of Western Sydney, NSW
- Associate Professor Elisabeth Murphy – NSW Kids and Families
- Dr Vanessa Sarkozy – School of Women’s and Children’s Health, UNSW
- Dr Ruth Selig – Mosman, NSW
- Dr Jonny Taitz – Clinical Excellence Commission, NSW
- Dr Carl De Wet – Logan Hyperdome Doctors, QLD
- Dr Gavin Wheaton – Women’s and Children’s Hospital, SA
- Dr Helena Williams – Russell Clinic, SA
- Dr Sue Woolfenden – Sydney Children’s Hospital, NSW
- Dr Helen K Young – Royal North Shore Hospital, NSW
Results from the CareTrack Kids study published in the Journal of the American Medical Association show children in Australia receive care in line with clinical practice guideline recommendations on average 60 per cent (59.8 per cent) of the time for 17 common medical conditions. Read details of the report.
Condition | Treatment in line with clinical guidelines | Publication |
---|---|---|
Acute abdominal pain | 69.9% | |
Acute gastroenteritis | 59.6% | Appropriate management of acute gastroenteritis in Australian children: a population-based study |
Antibiotic use | 61.9% | |
Anxiety | 80.8% | |
Asthma | 58.1% | Assessing appropriateness of paediatric asthma management: a population-based sample survey |
Autism | 88.8% | The quality of care for Australian children with Autism Spectrum Disorders |
Bronchiolitis | 59.3% | |
Croup | 69.8% | |
Diabetes | 79.9% | |
Fever | 53.5% | Management of fever in Australian children: a population-based sample survey |
Head injury | 78.3% | |
Otitis media (middle ear infections) | 58% | |
Preventative care | 43.3% | The quality of preventive care for pre-school aged children in Australian general practice |
Tonsillitis | 43.5% | |
Upper respiratory tract infection | 53.2% |
We would like to thank the following organisations for supporting the project:
- NHMRC
- BUPA Health Foundation
- The Sydney Children’s Hospitals Network, New South Wales
- New South Wales Kids and Families
- Children’s Health Queensland
- South Australia Department of Health
- Clinical Excellence Commission.