Health Affairs, 26, no. 2 (2007): 315-330
doi: 10.1377/hlthaff.26.2.315
© 2007 by Project HOPE
 
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Health Care

Transforming The U.S. Child Health System

Neal Halfon, Helen DuPlessis and Moira Inkelas

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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