Organisational models of Health services for Children and adolescents in out-of-home care: Health technology assessment

Research output: Contribution to journalArticle



Decades of research confirm that children and adolescents in out‐of‐home care (foster family, residential care) have much greater health care needs than their peers. A systematic literature review was conducted to evaluate organisational health care models for this vulnerable group.

A systematic literature search was undertaken of the following databases: Academic Search Elite, CENTRAL, Cochrane Database of Systematic Reviews, Cinahl, DARE, ERIC, HTA, PsycInfo, Psychology and Behavioural Sciences Collection, PubMed, SocIndex. Randomised and non‐randomised controlled trials were to be included. Two pairs of reviewers independently assessed abstracts of the identified published papers. Abstracts meeting the inclusion criteria were ordered in full text. Each article was reviewed independently, by pairs of reviewers. A joint assessment was made based on the inclusion criteria and relevance. Cases of disagreement were resolved by consensus discussion.

No study with low or medium risk of bias was identified.

In the absence of studies of acceptable quality, it is not possible to assess the impact of organisational models intended to ensure adequate health and dental care for children and adolescents in out‐of‐home care. Therefore, well‐designed follow‐up studies should be conducted following the implementation of such models


  • Tita Mensah
  • Anders Hjern
  • Kickan Håkansson
  • Pia Johansson
  • Ann Kristine Jonsson
  • Titti Mattsson
  • Sofia Tranæus
  • Bo Vinnerljung
  • Pernilla Östlund
  • Gunilla Klingberg
External organisations
  • Malmö University
  • County Council of Värmland
  • Centre for Health Equity Studies (CHESS)
  • Swedish Agency for Health Technology Assessment and Assessment of Social Services
  • Karolinska Institutet
  • Stockholm University
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Health Care Service and Management, Health Policy and Services and Health Economy
Original languageEnglish
Pages (from-to)250-257
Number of pages8
JournalActa Pædiatrica
Issue number2
Early online date2019 Sep 4
Publication statusPublished - 2020 Feb
Publication categoryResearch