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Updated: Mar 24, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
A Population Health Approach to System Transformation for Children's Healthy Development
Paul H Dworkin1, Aradhana Bela Sood2
1Department of Pediatrics, Office for Community Child Health, Help Me Grow National Center, Connecticut Children's Medical Center, University of Connecticut School of Medicine, 282 Washington Street, Hartford, CT 06106, USA.
Child health services are shifting from treating illness to promoting optimal child development. This evolution requires changes in services, systems, and public policy, considering social determinants of health.
Area of Science:
- Pediatrics
- Public Health
- Developmental Psychology
Background:
- Pediatrics has historically focused on treating childhood diseases and disorders.
- There is a growing recognition of the need to shift focus beyond illness to promoting healthy development.
- Understanding the impact of social determinants on child health outcomes is crucial.
Purpose of the Study:
- To explore the paradigm shift in child health services from disease treatment to promoting optimal child development.
- To discuss the implications of this evolution for service delivery, system transformation, and public policy.
- To highlight the role of social determinants in shaping child health and developmental trajectories.
Main Methods:
- Conceptual analysis of the evolution of pediatrics.
- Review of literature on social determinants of child health.
- Discussion of policy and system transformation frameworks.
Main Results:
- The field of pediatrics is evolving to encompass the promotion of healthy child development.
- Social determinants significantly influence children's health and developmental outcomes.
- This evolution necessitates changes in child health services, programs, and public policy.
Conclusions:
- Child health services should expand their goals to actively promote optimal child development.
- System transformation and public policy must address social determinants to support healthy development.
- A proactive approach focusing on development, informed by social determinants, is essential for the future of child health.
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