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Childhood lead poisoning and managed care
M Weitzman1, J R Campbell, S Schaffer
1University of Rochester School of Medicine and Dentistry, New York, USA.
Journal of Public Health Management and Practice : JPHMP
|December 8, 1997
Summary
Childhood lead poisoning impacts impoverished children, requiring integrated health and social services. Managed care changes present both opportunities and risks for preventing and treating this serious condition.
Area of Science:
- Environmental Health
- Pediatrics
- Public Health Policy
Background:
- Childhood lead poisoning disproportionately affects impoverished children.
- Significant changes in human services, including child health services, are underway.
- Managed care is reshaping primary care delivery and service linkages.
Purpose of the Study:
- To analyze the impact of managed care changes on childhood lead poisoning prevention and treatment.
- To identify potential opportunities and dangers associated with these healthcare system shifts.
Main Methods:
- Review of current trends in child health services and managed care.
- Analysis of potential effects on primary care access, content, and inter-service coordination.
Main Results:
- Managed care may alter primary care sites, service content, and crucial linkages to public health, nutrition, housing, mental health, education, and social services.
- These changes could either enhance or hinder efforts to prevent and treat childhood lead poisoning.
Conclusions:
- Managed care presents a complex landscape for addressing childhood lead poisoning.
- Strategic planning is essential to leverage opportunities and mitigate dangers for vulnerable children.