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Transforming the U.S. child health system
Neal Halfon1, Helen DuPlessis, Moira Inkelas
1Center for Healthier Children, Families, and Communities, University of California, Los Angeles, CA, USA. nhalfon@ucla.edu
Health Affairs (Project Hope)
|March 7, 2007
Summary
Reforming the U.S. child health system requires a bold, long-term strategy. This paper outlines a vision for transformative change, addressing systemic issues in child health development and financing.
Area of Science:
- Public Health
- Health Policy
- Pediatric Health Systems
Background:
- The U.S. child health system faces significant underperformance.
- Existing structures present intractable problems in operation, organization, and financing.
Purpose of the Study:
- To present a vision and rationale for comprehensive reform of the U.S. child health system.
- To propose a transformative, long-term strategy addressing systemic challenges.
Main Methods:
- Review of documented accounts of system underperformance.
- Analysis of the conceptualization of child health development.
- Consideration of emerging opportunities and changing realities.
Main Results:
- A need for paradigmatic changes in understanding child health development.
- Identification of deep-seated issues in the current system's logic, organization, and financing.
Conclusions:
- A bold, well-defined, and long-term reform strategy is essential.
- An optimistic policy transformation agenda can leverage current opportunities for systemic improvement.
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