Den efterfrågade informationen om barns hälsa i den standardiserade delen av hälsojournalen behöver utökas för att också inkludera mer av den psykosociala hälsan. Det skulle bidra till en mer heltäckande bild av barns hälsa. Vidare bör verksamheterna komma överens om vilken kunskapsbaserad information om barns hälsa som ska dokumenteras och följas över tid. Det gäller både på individ- och befolkningsnivå. Det finns också ett behov av fördjupad forskning kring vad den information, som överförs vid sidan om dokumentationen i hälsojournalen, handlar om. Hur ser möjligheterna ut att använda ett gemensamt standardiserat språk för att underlätta dokumentation av känsliga frågor som påverkar barns hälsa? Vidare behöver instruktioner i befintliga hälsojournaler förtydligas angående vad den fria texten ska omfatta. Resultat visade att det var vanligt förekommande att information om barns hälsa i fri
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text var upprepningar av information som fanns i den standardiserade delen av hälsojournalen.
Nyttan av ICF-CY som ett användbart verktyg har bekräftats och ger verksamheterna utmaningar att utveckla ett gemensamt språk för att också inkludera den psykosociala hälsan i sin dokumentation. I det tvärprofessionella och interdisciplinära arbetet är ett överenskommet gemensamt språk en förutsättning för att kunna överföra dokumentationen till ett standardiserat språk. Verksamheterna behöver lägga ned fortsatt arbete på att komma överens om beskrivningar och innebörd i olika hälsobegrepp. Den här avhandlingen har visat på möjligheter med att använda ICF-CY som ett verktyg för att skärpa fokus på det psykosociala perspektivet på barns hälsa. Tiden är inne för att utveckla en gemensam elektronisk version av den standardiserade hälsojournalen, som inkluderar ett set av överenskommen hälsoinformation med en helhetssyn på barns hälsa och som ska följas upp över tid.
67
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