Simpson Lisa A, Fairbrother Gerry
Child Policy Research Center, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 7014, Cincinnati, OH 45229, USA.
Pediatr Clin North Am. 2009 Aug;56(4):1009-21. doi: 10.1016/j.pcl.2009.05.014.
The primary focus of child health policy for the last twenty years has been on improving health care coverage and access. More recently, the focus has shifted to include not only coverage, but also the quality of the care received. This article describes some "voltage drops" in health care that impede delivery of high quality health care. The growing emphasis on quality is reflected in provisions of the new Child Health Program Reauthorization Act of 2009 (CHIPRA) legislation. In addition to providing funding for health coverage for over four million more children, it also includes the most significant federal investment in pediatric quality to date.
在过去二十年里，儿童健康政策的主要关注点一直是改善医疗保健覆盖范围和可及性。最近，关注点不仅转向覆盖范围，还包括所接受医疗服务的质量。本文描述了医疗保健中一些阻碍高质量医疗服务提供的“电压降”。对质量的日益重视体现在2009年新的《儿童健康计划重新授权法案》（CHIPRA）立法条款中。除了为四百多万更多儿童的医疗保险提供资金外，它还包括迄今为止联邦政府对儿科质量的最重要投资。
