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CareTrack Kids—part 1. Assessing the appropriateness of healthcare delivered to Australian children: study protocol for clinical indicator development
  1. Louise K Wiles1,2,
  2. Tamara D Hooper1,2,
  3. Peter D Hibbert2,
  4. Les White3,4,5,
  5. Nicole Mealing2,
  6. Adam Jaffe3,6,
  7. Christopher T Cowell7,8,
  8. Mark F Harris9,
  9. William B Runciman1,2,10,
  10. Stan Goldstein11,
  11. Andrew R Hallahan12,
  12. John G Wakefield12,
  13. Elisabeth Murphy5,
  14. Annie Lau2,
  15. Gavin Wheaton13,
  16. Helena M Williams14,
  17. Clifford Hughes15,
  18. Jeffrey Braithwaite2
  1. 1Division of Education, Arts and Social Sciences, Centre for Sleep Research, School of Psychology, Social Work and Social Policy, University of South Australia, Adelaide, South Australia, Australia
  2. 2Faculty of Medicine and Health Sciences, Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
  3. 3Discipline of Paediatrics, School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia
  4. 4Sydney Children's Hospital, Sydney Children's Hospitals Network, Randwick, New South Wales, Australia
  5. 5New South Wales Health, NSW Kids and Families, North Sydney, New South Wales, Australia
  6. 6Department of Respiratory Medicine, Sydney Children's Hospital, Sydney Children's Hospitals Network, Randwick, New South Wales, Australia
  7. 7Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
  8. 8Institute of Endocrinology and Diabetes, Children's Hospital at Westmead, Sydney Children's Hospitals Network, Westmead, New South Wales, Australia
  9. 9Faculty of Medicine, Centre for Primary Health Care and Equity, University of New South Wales, Sydney, New South Wales, Australia
  10. 10Australian Patient Safety Foundation, Adelaide, South Australia, Australia
  11. 11BUPA Health Foundation Australia, Sydney, New South Wales, Australia
  12. 12Patient Safety and Quality Unit, Children's Health Queensland Hospital and Health Service, Herston, Queensland, Australia
  13. 13Division of Paediatric Medicine, Women's and Children's Health Network, South Australia, Australia
  14. 14Russell Clinic, Blackwood, South Australia, Australia
  15. 15Clinical Excellence Commission, Sydney South, New South Wales, Australia
  1. Correspondence to Professor Jeffrey Braithwaite; jeffrey.braithwaite{at}


Introduction Despite the widespread availability of clinical guidelines, considerable gaps remain between the care that is recommended (appropriate care) and the care provided. This protocol describes a research methodology to develop clinical indicators for appropriate care for common paediatric conditions.

Methods and analysis We will identify conditions amenable to population-level appropriateness of care research and develop clinical indicators for each condition. Candidate conditions have been identified from published research; burden of disease, prevalence and frequency of presentation data; and quality of care priority lists. Clinical indicators will be developed through searches of national and international guidelines, and formatted with explicit criteria for inclusion, exclusion, time frame and setting. Experts will review the indicators using a wiki-based approach and modified Delphi process. A formative evaluation of the wiki process will be undertaken.

Ethics and dissemination Human Research Ethics Committee approvals have been received from Sydney Children's Hospital Network, Children's Health Queensland Hospital and Health Service, and the Women's and Children's Health Network (South Australia). Applications are under review with Macquarie University and the Royal Australian College of General Practitioners. We will submit the results of the study to relevant journals and offer national and international presentations.

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:

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