Adolescent Immunization: The Access and Anchor for Health Services?

PEDIATRICS ◽  
1995 ◽  
Vol 95 (6) ◽  
pp. 936-937
Author(s):  
Caroline Breese Hall

Concern is escalating for the medical and social health of our adolescents under the current discouraging avalanche of statistics. The need for comprehensive health care visits for teens and pre-teens has been highlighted as a national health objective for the year 2000,1 and emphasized by the recent goals and guidelines of the American Academy of Pediatrics2-4 and the American Medical Association.5 The frequency of pregnancies in early adolescence and the steep rise of sexually transmitted diseases, hepatitis B infections, drug abuse, and smoking in teens have been documented.6 Adolescence, if not the age of reason, is the age of risk.

Author(s):  
Gunnar Almgren

This chapter provides a narrative of the complex origins of the American Exceptionalism in health care and the main impediments to the realization of health care as a social right afforded to all Americans. As the chapter discusses, at the heart of American Exceptionalism in health care is “The Great Unsustainable Compromise”, that is, a fragmented mixed-public and private system of health care finance and delivery that has been built around a subsidized employment-based insurance system with selective entitlements to health care for the poor and aged. After tracing the development of the Great Unsustainable Compromise from the demise of the Truman Plan in the late 1940's at the behest of the American Medical Association through the enactment of the Medicare and Medicaid entitlements in 1965, the chapter explains the seeds of its demise and its gradually unraveling over the final decades of the 20th century. In its concluding section, the chapter advances the arguments for the inevitability of the evolvement of the health care system to a publicly financed universal entitlement to comprehensive health care as a social right of citizenship.


1969 ◽  
Vol 18 (5) ◽  
pp. 454
Author(s):  
J. C. HASIER ◽  
P. M. R. HEMPHILI ◽  
T. I. STEWART ◽  
E ROYL ◽  
S ANDREY. HARRI

1972 ◽  
Vol 60 (2) ◽  
pp. 112-113
Author(s):  
THOMAS M. BATCHELOR ◽  
ANTOINETTE MC. NOWELL ◽  
MURIEL G. WAGNER

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Minjung Park ◽  
Jimin Park ◽  
Soonman Kwon

As the role of traditional medicine in community health improvement increases, a comprehensive health care program for infectious diseases management in child-care centers by Korean medicine doctors was developed. The purpose of this study is to evaluate the effects of the program intervention on infection-related medical care utilization among children. The study used a quasi-experimental design with nonequivalent control group, comparing pre- and post-intervention data of the same children. The program implemented interventions in terms of management, education, and medical examination for the teachers, parents, and children in 12-week period. The frequency of utilization, cost, and prescription days of drugs and antibiotics due to infectious diseases prior to the intervention were compared with those during the 3-month intervention, using health insurance claim data. A panel analysis was also conducted to support the findings. A significant reduction (12%) in infection-related visit days of hospitals was observed with the intervention (incident rate ratio = 0.88,P=0.01). And medical cost, drug prescription days, and antibiotics prescription days were decreased, although not statistically significant. A further cost-effectiveness analysis in terms of social perspectives, considering the opportunity costs for guardians to take children to medical institutions, would be needed.


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