Bruner Charles, Fitzgerald Carrie, Plaza Carla
Child and Family Policy Center, Des Moines, Iowa, USA.
Issue Brief (Commonw Fund). 2008 Oct;46:1-7.
Policymakers considering the 2009 reauthorization of the State Children's Health Insurance Program (SCHIP) have an opportunity to strengthen federal provisions to promote primary, preventive, and developmental child health care. Several pieces of legislation introduced in 2007 focused on aspects of child health quality, but none placed a specific emphasis on primary care. This issue brief describes three legislative proposals and additional quality provisions related specifically to primary care to consider for incorporation into federal law. These provisions include: 1) establishing a core set of primary child health service outcomes for tracking within Medicaid and SCHIP; 2) creating a structure within the Centers for Medicare and Medicaid Services that focuses on strengthening primary, preventive, and developmental child health services; 3) supporting additional research on child health quality and outcomes in primary care; and 4) providing incentives to states to promote evidence-based practices in children's primary health care
考虑2009年重新授权《州儿童健康保险计划》（SCHIP）的政策制定者有机会强化联邦条款，以促进儿童初级、预防和发育保健。2007年提出的几项立法聚焦于儿童健康质量的各个方面，但均未特别强调初级保健。本问题简报介绍了三项立法提案以及与初级保健具体相关的其他质量条款，供考虑纳入联邦法律。这些条款包括：1）建立一套核心的儿童初级健康服务成果，以便在医疗补助计划和州儿童健康保险计划中进行跟踪；2）在医疗保险和医疗补助服务中心内创建一个专注于加强儿童初级、预防和发育健康服务的架构；3）支持对儿童初级保健中的健康质量和成果开展更多研究；4）向各州提供激励措施，以促进儿童初级卫生保健中的循证实践。
