Meeting children's basic health needs: From patchwork to tapestry
AbstractFew would deny that if a system were to be designed de novo to meet children's basic health needs, it would be radically different from the confusing and fragmented patchwork of programs in place today. While Medicaid and the Children's Health Insurance Program (CHIP), have improved access to care, increased use of health care services, and reduced unmet health needs for low-income children, the impact of these programs on the quality of health care, and on children's health outcomes is less certain. At the same time, the prevalence of childhood chronic illness is increasing, there is an "epidemic" of obesity, and sizeable increases in reported developmental and behavioral problems and mental health issues. Our existing system of care appears ill-equipped to respond to this changing epidemiology. Unmet needs for care in childhood represent "time-bombs," likely to result in an explosion of chronic illness in mid-life. We propose a new approach to child health policy, based on the life course health development model in which health in childhood is regarded as a foundation for lifelong well-being. A new tapestry of comprehensive children's services, integrated across sectors, which fully address children's health needs and promote positive health, could set children on optimal health trajectories for life. This system could be a major component of the transformative change the nation is seeking to reduce health care costs and improve quality of life across the lifespan.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Bibliographic InfoArticle provided by Elsevier in its journal Children and Youth Services Review.
Volume (Year): 32 (2010)
Issue (Month): 9 (September)
Contact details of provider:
Web page: http://www.elsevier.com/locate/childyouth
Child health Child welfare Health insurance Child policy Child health outcomes;
You can help add them by filling out this form.
reading list or among the top items on IDEAS.Access and download statisticsgeneral information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Wendy Shamier).
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.