Affiliation:
1. Richard E. Behrman Professor of Child Health and Society; Professor of Pediatrics; Director, Center for Policy, Outcomes and Prevention, Stanford University, Stanford, Calif
Abstract
Health-care reform could generate major new opportunities to strengthen the central role of neonatology in improving child health in the United States. However, without considerable caution, such reform also could destabilize many of the policies that have facilitated neonatology's most important contributions. This article anticipates the policy issues of greatest consequence for neonatology, including the public's misperception of neonatology's costs and impact on outcomes, the danger of adult-focused cost-containment policies, the potential to improve health services for women, and the generational politics of health-care reform. Neonatologists could provide essential technical guidance and a coherent political voice in shaping the nature and scope of health-care reform.
Publisher
American Academy of Pediatrics (AAP)
Subject
Pediatrics, Perinatology and Child Health
Reference29 articles.
1. Wise PH. The anatomy of a disparity in infant mortality. Annu Rev Public Health. 2003;24:341–362
2. National Center for Health Statistics. Table 18. Infant, neonatal and postneonatal mortality rates by detailed race and Hispanic origin of mother, United States, selected years 1983–2005. In: Health, United States, 2008. Hyattsville, Md: Department of Health and Human Services; 2008
3. Philip AGS. The evolution of neonatology. Pediatr Res. 2005;58:617–30
4. Holmstrom ST, Phibbs CS. Regionalization and mortality in neonatal intensive care. Pediatr Clin North Am. 2009;56:617–630
5. Horbar JD, Badger GJ, Carpenter JH, et al. Trends in mortality and morbidity for very low birth weight infants, 1991–1999. Pediatrics. 2002;110:143–151
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献