Transforming the U.S. child health system.

Full Abstract

This paper presents a vision and rationale for reform of the U.S. child health system based on paradigmatic changes in the conceptualization of child health development. Reviewing well-known and well-documented accounts of how this system is under-performing, we suggest that a bold, well-defined, transformative, and long-term reform strategy is needed to address intractable problems in the underlying operating logic, organization, and financing of the current child health system. We conclude by considering an optimistic, long-term policy transformation agenda, building up emerging opportunities and changing realities in the United States and abroad.

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Author information

Author/s: Halfon, Neal (N); DuPlessis, Helen (H); Inkelas, Moira (M);

Affiliation: Center for Healthier Children, Families, and Communities, University of California, Los Angeles, CA, USA. nhalfon(-atsign-)ucla.edu

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't; Review

Journal: Health affairs (Project Hope) (Health Aff (Millwood)), published in United States. (Language: eng)

Reference: -2007 Mar-Apr; vol 26 (issue 2) : pp 315-30

Dates: Created 2007/03/06; Completed 2007/03/30;

PMID: 17339658, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Child
Child Health Services - organization & administration
Child Welfare
Child, Preschool
Delivery of Health Care - organization & administration
Female

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