Halfon Neal, DuPlessis Helen, Inkelas Moira
Center for Healthier Children, Families, and Communities, University of California, Los Angeles, CA, USA.
Health Aff (Millwood). 2007 Mar-Apr;26(2):315-30. doi: 10.1377/hlthaff.26.2.315.
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.
本文基于儿童健康发展概念化的范式转变，提出了美国儿童健康系统改革的愿景和基本原理。回顾关于该系统表现不佳的知名且有充分记录的描述，我们认为需要一项大胆、明确、变革性的长期改革战略，以解决当前儿童健康系统在基本运行逻辑、组织和融资方面的棘手问题。我们通过考虑一项乐观的长期政策转型议程来得出结论，该议程基于美国国内外新出现的机遇和不断变化的现实。
