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America's Children is a comprehensive, easy-to-read analysis of the relationship between health insurance and access to care. The book addresses three broad questions: How is children's health care currently financed? Does insurance equal access to care? How should the nation address the health needs of this vulnerable population? America's Children explores the changing role of Medicaid under managed care; state-initiated and private sector children's insurance programs; specific effects of insurance status on the care children receive; and the impact of chronic medical conditions and special health care needs. It also examines the status of "safety net" health providers, including community health centers, children's hospitals, school-based health centers, and others and reviews the changing patterns of coverage and tax policy options to increase coverage of private-sector, employer-based health insurance. In response to growing public concerns about uninsured children, last year Congress voted to provide $24 billion over five years for new state insurance initiatives. This volume will serve as a primer for concerned federal policymakers and regulators, state agency officials, health plan decisionmakers, health care providers, children's health advocates, and researchers.
This report examines the condition of children in 10 European countries (Belgium, Denmark, France, Germany, Ireland, Netherlands, Norway, Spain, Switzerland and the United Kingdom) where infant survival rates are better than the U.S. and where they all share elements of pluralism in their systems of health care.
Healthy mental, emotional, and behavioral (MEB) development is a critical foundation for a productive adulthood. Much is known about strategies to support families and communities in strengthening the MEB development of children and youth, by promoting healthy development and also by preventing and mitigating disorder, so that young people reach adulthood ready to thrive and contribute to society. Over the last decade, a growing body of research has significantly strengthened understanding of healthy MEB development and the factors that influence it, as well as how it can be fostered. Yet, the United States has not taken full advantage of this growing knowledge base. Ten years later, the nation still is not effectively mitigating risks for poor MEB health outcomes; these risks remain prevalent, and available data show no significant reductions in their prevalence. Fostering Healthy Mental, Emotional, and Behavioral Development in Children and Youth: A National Agenda examines the gap between current research and achievable national goals for the next ten years. This report identifies the complexities of childhood influences and highlights the need for a tailored approach when implementing new policies and practices. This report provides a framework for a cohesive, multidisciplinary national approach to improving MEB health.
In light of recent efforts in the United States to advance some type of universal health care package for all citizens, including preventive services for children, this report examines how other countries with universal health insurance provide preventive care to children, and what, if any, are the implications for reform efforts in the United States. Child health services in England, France, Germany, Japan, and the Netherlands are reviewed. The first portion of the document describes the scope and background of the study, as well as summary results, noting that although the five study countries provide universal access to preventive health care for all children, they do not rely solely on systems of universal coverage to ensure that all children receive services. Instead, these countries take one or more of the following actions to help secure this outcome: (1) notifying health authorities of new births; (2) targeting new parents for home visits; (3) providing convenient access to physical exams and immunizations; and (4) facilitating the continuity of care through the use of computerized tracking systems. Five appendixes make up the remainder of the document, outlining these nations' systematic approach to delivering preventive care, outreach activities that promote preventive care and remind parents of services, tracking systems that help ensure children receive services, and laws and regulations that provide entitlement to preventive care. A list of major contributors to the report makes up the fifth appendix.
America's health care system is being reshaped by a variety of market-driven changes, and states are emerging as the major governmental influence on health care policy. Amid these changes, the health and well-being of children can slip from view. Although most children are fundamentally healthy, they require health care that emphasizes preventive services, such as immunizations and regular monitoring of physical and psychosocial growth and development. This volume takes a broad look at access and quality of care for pregnant women, children, and mothers. Among the issues addressed are the scope of benefits available under various health care reform efforts and services for special-needs children under managed care.
Examines how other countries with universal health insurance provide preventive health care to children, & what, if any, are the implications for reform efforts in the U.S. Reviews the approaches to such care in selected European countries (England, France, Germany, & the Netherlands), & Japan. Charts & tables.
Young adulthood - ages approximately 18 to 26 - is a critical period of development with long-lasting implications for a person's economic security, health and well-being. Young adults are key contributors to the nation's workforce and military services and, since many are parents, to the healthy development of the next generation. Although 'millennials' have received attention in the popular media in recent years, young adults are too rarely treated as a distinct population in policy, programs, and research. Instead, they are often grouped with adolescents or, more often, with all adults. Currently, the nation is experiencing economic restructuring, widening inequality, a rapidly rising ratio of older adults, and an increasingly diverse population. The possible transformative effects of these features make focus on young adults especially important. A systematic approach to understanding and responding to the unique circumstances and needs of today's young adults can help to pave the way to a more productive and equitable tomorrow for young adults in particular and our society at large. Investing in The Health and Well-Being of Young Adults describes what is meant by the term young adulthood, who young adults are, what they are doing, and what they need. This study recommends actions that nonprofit programs and federal, state, and local agencies can take to help young adults make a successful transition from adolescence to adulthood. According to this report, young adults should be considered as a separate group from adolescents and older adults. Investing in The Health and Well-Being of Young Adults makes the case that increased efforts to improve high school and college graduate rates and education and workforce development systems that are more closely tied to high-demand economic sectors will help this age group achieve greater opportunity and success. The report also discusses the health status of young adults and makes recommendations to develop evidence-based practices for young adults for medical and behavioral health, including preventions. What happens during the young adult years has profound implications for the rest of the life course, and the stability and progress of society at large depends on how any cohort of young adults fares as a whole. Investing in The Health and Well-Being of Young Adults will provide a roadmap to improving outcomes for this age group as they transition from adolescence to adulthood.
Experimental findings have indicated an association between well-child care and cost-efficient health care and increased school readiness. But insurance companies and Medicaid administrators sometimes arent aware of the findings, which is why a book on well-child care is so necessary. William Pittard, a longtime medical doctor who has spent decades specializing in pediatrics, teams up with other experts to explore how well-child care promotes the health and future success of children in this book for parents, health care providers, policy makers, and others. Learn how: Medicaids scope has been broadened to include preventative care; confrontations and controversies have led to health care reform; legislators and others can take action to improve coverage. The preventive care the authors focus on includes anticipatory guidance; continuity of care; assessment of growth and development; screening procedures for vision, hearing, dental, and cognitive development; and immunizations. By learning more about the health care system and what the latest research tells us about well-child care, youll be better equipped to promote the health and future success of children in a cost-effective way. Thats a win for parents, insurance companies, taxpayers, and most importantlythe next generation.