Pediatrics. 2010 Nov;126(5):1018-21. doi: 10.1542/peds.2010-2182. Epub 2010 Oct 25.
The American Academy of Pediatrics advocates that all children must have health insurance coverage that ensures them access to affordable and comprehensive quality care. Access to care depends on the design and implementation of payment systems that ensure the economic viability of the medical home; support and grow the professional pediatric workforce; promote the adoption and implementation of health information technology; enhance medical education, training, and research; and encourage and reward quality-improvement programs that advance and strengthen the medical home. Health insurance plans must be portable from state to state, with administrative procedures to eliminate breaks and gaps in coverage to ensure continuous coverage from year to year. Plans should ensure free choice of clinicians and foster coordination with public and private community-based programs for infants, children, and adolescents through the age of 26. The scope of services provided by all health plans must include preventive, acute and chronic illness, behavioral, inpatient, emergency, and home health care. These plans must be affordable and have cost-sharing policies that protect patients and families from financial strain and are without risk of loss of benefits because of plan design, current illness, or preexisting condition.
美国儿科学会主张所有儿童都必须拥有医疗保险，以确保他们能够获得负担得起的全面优质医疗服务。获得医疗服务的机会取决于支付系统的设计和实施，这些系统必须确保医疗之家的经济可行性；支持和壮大专业儿科劳动力队伍；促进医疗信息技术的采用和实施；加强医学教育、培训和研究；鼓励和奖励质量改进计划，以推进和加强医疗之家。医疗保险计划必须在各州之间具有可转移性，并且要有行政程序来消除覆盖范围的中断和差距，以确保每年的连续覆盖。计划应确保患者能够自由选择临床医生，并通过公共和私人社区计划为婴儿、儿童和青少年（至 26 岁）提供协调服务。所有健康计划提供的服务范围必须包括预防、急性和慢性疾病、行为、住院、急诊和家庭保健护理。这些计划必须负担得起，并且具有分担成本的政策，以保护患者和家庭免受经济压力的影响，并且不会因为计划设计、当前疾病或既往疾病而面临福利损失的风险。
