Six Questions for Well-Child Care Redesign.

Area of Science:

• Pediatrics
• Public Health
• Health Services Research

Background:

• Well-child care aims for comprehensive child development, behavior, psychosocial, and health support.
• Current preventive care delivery often struggles to meet family needs due to capacity limitations.
• A system redesign is necessary to align well-child care with family requirements.

Purpose of the Study:

• To propose a framework for redesigning well-child care for infants and young children.
• To address critical questions (what, when, who, why, how, where) for effective preventive care delivery.
• To accelerate improvements in well-child care through clinical and research advancements.

Main Methods:

• Focus on six core questions guiding the redesign of well-child care.
• Development of recommendations for advancing well-child care redesign.
• Analysis of the current system's limitations in meeting family needs.

Main Results:

• Identified key areas for well-child care system improvement.
• Provided a structured approach to address the "what, when, who, why, how, and where" of preventive care.
• Highlighted the gap between current practices and family needs.

Conclusions:

• The current "as usual" approach to well-child care is insufficient for many families.
• Urgent implementation of system changes is needed to ensure comprehensive preventive care.
• Sustained efforts in redesigning well-child care are essential for child health and well-being.