Access and quality in child health services: voltage drops

Health Affairs
Paul J Chung, Mark A Schuster

Abstract

Children require a health care system that promotes healthy development for all children while reaching out to the neediest. Barriers to care have been described as "voltage drops"-resistance points at which patients drop from the system like voltage from an electrical current. We examine the size and nature of these drops, ranging from insurance access to service quality, with respect to children. We find critical policy needs (such as expanded insurance opportunities, increased care coordination, and improved quality measurement) at all system levels. Comprehensive access to insurance and services does not guarantee that children will receive high-quality (safe and effective) care.

References

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Citations

Jul 17, 2010·American Journal of Public Health·Serena ClaytonCecilia Echeverria
Jan 1, 2010·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Minghua Li, Reagan Baughman
Aug 8, 2009·Pediatric Clinics of North America·Lisa A Simpson, Gerry Fairbrother
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Jan 20, 2007·Journal of Pediatric Nursing·Maura Macphee
Oct 25, 2007·Journal for Specialists in Pediatric Nursing : JSPN·Elizabeth Willen
Jun 4, 2014·The Milbank Quarterly·Heidi AllenLauren Broffman
Nov 8, 2014·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Sarika Rane Parasuraman, Leiyu Shi
Aug 22, 2007·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Natalie Ames
Feb 12, 2010·The American Journal of Clinical Nutrition·Andrea M de Silva-SanigorskiBoyd A Swinburn

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