Health Affairs

Health Affairs, 26, no. 2 (2007): 315-330 doi: 10.1377/hlthaff.26.2.315 © 2007 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

This Article Full Text (HTML) Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when Comments are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in Web of Science Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (10) Citing Articles via Google Scholar Google Scholar Articles by Halfon, N. Articles by Inkelas, M. Search for Related Content PubMed Articles by Halfon, N. Articles by Inkelas, M. Related Collections Health Promotion/Disease Prevention Health Reform Insurance Coverage - Children Maternal And Child Health Medicaid Health Spending Consumer Issues

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.

                      What's this?

This article has been cited by other articles:

				L. M. Sanders, J. S. Shaw, G. Guez, C. Baur, and R. Rudd Health Literacy and Child Health Promotion: Implications for Research, Clinical Care, and Public Policy Pediatrics, November 1, 2009; 124(Supplement_3): S306 - S314. [Abstract] [Full Text] [PDF]

				L. Radecki, L. M. Olson, M. P. Frintner, J. L. Tanner, and M. T. Stein What Do Families Want From Well-Child Care? Including Parents in the Rethinking Discussion Pediatrics, September 1, 2009; 124(3): 858 - 865. [Abstract] [Full Text] [PDF]

				M. Silverstein, N. Guppy, R. Young, and M. Augustyn Receipt of Special Education Services Following Elementary School Grade Retention Arch Pediatr Adolesc Med, June 1, 2009; 163(6): 547 - 553. [Abstract] [Full Text] [PDF]

				L. M. Sanders, S. Federico, P. Klass, M. A. Abrams, and B. Dreyer Literacy and Child Health: A Systematic Review Arch Pediatr Adolesc Med, February 1, 2009; 163(2): 131 - 140. [Abstract] [Full Text] [PDF]

				D. K. Walker Time to Embrace Public Health Approaches to National and Global Challenges Am J Public Health, November 1, 2008; 98(11): 1934 - 1936. [Full Text] [PDF]

				S. Y. Sessions and P. R. Lee A Road Map for Universal Coverage: Finding a Pass through the Financial Mountains Journal of Health Politics Policy and Law, January 1, 2008; 33(2): 155 - 197. [Abstract] [PDF]

				J. M. Perrin and C. J. Homer The Quality of Children's Health Care Matters -- Time to Pay Attention N. Engl. J. Med., October 11, 2007; 357(15): 1549 - 1551. [Full Text] [PDF]

				J. K. Iglehart Insuring All Children -- The New Political Imperative N. Engl. J. Med., July 5, 2007; 357(1): 70 - 76. [Full Text] [PDF]

				C. J. Homer For Love, for Money, or for Both?: Which Way Will We Choose to Transform Children's Health Care? Arch Pediatr Adolesc Med, July 1, 2007; 161(7): 715 - 717. [Full Text] [PDF]