Letter From the Editor

      In this sixth issue of Ambulatory Pediatrics, the last one for 2001, Fairbrother and colleagues (New York Academy of Medicine) present a study indicating that Medicaid-insured children in managed care arrangements had higher rates of preventive services than those in fee-for-service arrangements. Yet, this study found that children in managed care had more visits and had longer enrollment and follow-up than those in FFS and note the complex interaction between payment arrangements and types of practices in which these children enrolled. Davis and colleagues (University of Michigan) interviewed pediatricians and family physicians to determine barriers they perceived to administration of pneumococcal vaccine, with main barriers identified being parental resistance, costs of vaccine, and problems with insurance coverage.
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