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Health Aff (Millwood). 2007 Mar-Apr;26(2):315-30.

Transforming the U.S. child health system.

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  • 1Center for Healthier Children, Families, and Communities, University of California, Los Angeles, CA, USA.


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.

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