Who benefit from school doctors’ health checks: a prospective study of a screening method

Table 2 Criteria of benefit and harm and Patient reported experience measures (PREMs)

	Response options for doctors and researchers^b
	Benefit				Harm
	A great deal	Quite a lot	Only a little	No benefit or harm	Only a little	Quite a lot	A great deal
Criteria for doctors and researchers
1. Significant discussion^a or other intervention that presumably reduces other health care use	x
2. Need to contact child welfare	x
3. Some referrals to secondary care	x	x
4. Doctor’s role irreplaceable by nurse		x
5. Presumably reduced concern^b		x
6. Some significant discussions^b		x
7. Nurse could have replaced the doctor			x
8. No significant harm as consequence of unhandled concerns			x
9. Suspicion that interaction failed or suspicion of no progress in care					x
10. The interaction failed or here was no progress in care						x
11. Suspicion of negative PREM or refusal of school doctor services in the future and no progress in care							x
PREM question
How much benefit or harm did you perceive from the school doctor’s health check?								I don’t know
Response options for parents	x	x	x	x	x	x	x	x
Response options for children		x	x	x	x	x

^aRelates to a different subject than an instruction, a prescription or a referral;
Additional criteria:
The child’s or parent’s concern reduced significantly or their resources strengthened or
The child or parent realized something new that improves their well-being or
The child or parent made a decision towards a healthier lifestyle
^bThe researchers take the PREMs into account when considering the value of discussions
If the parent’s PREM is between “Only a little benefit” and “A great deal of harm”, the value of discussions cannot be higher than “Only a little benefit”
The child’s PREM will be analyzed separately in a similar fashion
All responses of harm will be analyzed individually

ISSN: 1472-6963