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Table 1 Comparison of the main characteristics of the Brazilian (NHP), the North American (PFCC) and the European (CFHC) models of humanization

From: Humanization of pediatric care in the world: focus and review of existing models and measurement tools

National humanization policy (NHP) Patient and family centered care (PFCC) Child-friendly health care (CFHC)
Brasil [5] USA [16, 17, 19, 54] Europe [33]
Aims
Enable, promote and consolidate in hospitals accredited by SUS (Sistema Único de Saúde) the creation of a humanization culture that is democratic, compassionate and critical. • Respect and dignity.
• Information Sharing.
• Participation.
• Partnership and Collaboration.
• Negotiation
• To improve the quality of health care in term of effectiveness, efficiency and equity with attention to patient safety and his satisfaction.
• Services designed for the child and his family.
• Interventions focus not only on managing the child’s health condition, but also on their physical or social environment
• To encourage children to exercise their right to participate.
Methods
• To sensitize the hospital management
• Census of the hospital situation in terms of humanized services
• Development and implementation of the operational plan of humanization
• Evaluation of the results of the implementation of the process of humanization
• Step 1: select a care experience
• Step 2: establish the “Care Experience Guiding Council”
• Step 3: evaluate the current state using shadowing
• Step 4: expand Guiding Council into working group and care team
• Step 5: write the history of “ideal experience”
• Step 6: identify projects and form project improvement teams
• Interventions in five areas: participation, promotion, protection, prevention and provision.
• Training for staff.
• To assist children to become “knowledgeable patients”.
• To achieve synergy between: policy makers from different sectors; commissioners, providers and regulators of services; health, education and social-care organizations.
• “Child-friendly” healthcare environment.
• Age-appropriate interventions to reduce fear, discomfort and pain.
Instruments
1. National Network for the Humanization
2. Working groups
• Family Centered Rounds (FCR)
• Interdisciplinary care
• Practical model of policy based on children’s rights.
• Applying evidence-based and user-friendly guidelines for health professionals and families.
Result indicators
1. Welcome and user support
2. Work professionals’ work
3. Logic of management
1. Staff satisfaction
2. Parents satisfaction
3. Level of anxiety in parents and patients
4. Timing of discharge
1. Improved health
2. Reducing inequalities
3. Creating a sustainable system within the limits of available resources.