- Siblings of children with vesicoureteral reflux (VUR) are at elevated risk of VUR. Screening siblings may identify VUR before a clinical illness such as a urinary tract infection (UTI), but the benefit of screening has not been demonstrated. We sought to determine the incidence of UTI among siblings, and we hypothesized that the sibling UTI rate is similar between screened and unscreened siblings.
- To determine whether children with attention deficit/hyperactivity disorder (ADHD) receive care in a patient-centered medical home (PCMH) and how that relates to their ADHD treatment and functional outcomes.
- Throughout its 50-year history, the Academic Pediatric Association (APA) has recognized the importance of social, environmental, and public policy issues for children’s health. Since the organization’s inception, the APA and its members have taken an active interest in many major child health public policy initiatives (Table). APA members have worked to promote policies that benefit children’s health on a broad scale, conducting key research on health issues and health care interventions in order to inform policy debates, providing Congressional testimony, and leading initiatives for policy change.
- The affordable care Act (ACA) became law in March 2010.1 Although its full impact on Americans and the American health care system will unfold over many years, it represents fundamental change for patients and health care. Many may wonder how the law affects children and the health professionals who serve them. Some of the most publicized aspects of ACA (eg, guaranteed access to parents’ coverage for children aged less than 26 years, prohibitions against coverage denials for children aged less than 19 years with preexisting conditions) will directly help children, youth, and young adults.
- National public opinion polls indicate that a majority of Americans favor expanding the federal government's role in regulating health care to ensure coverage for all Americans.1 Polls conducted prior to the recently enacted Patient Protection and Affordable Care Act indicate that an increasing number of Americans were not satisfied with the proposed health care reforms.2,3 National physician surveys indicate that most physicians also believe that a larger portion of the population should have health insurance coverage and favor expanding the government's involvement to achieve this.
- As President-elect Obama and the 111th US Congress assume leadership, we hope that they will work together to put children's health issues, and in particular, health insurance for children, on the national agenda. The new leadership will likely address 2 critical policy options related to child health insurance: reauthorization and potential expansion of the State Children's Health Insurance Program (SCHIP), and expansion of health insurance to all children. We hope that policy makers keep in mind the substantial body of scientific evidence about SCHIP and child health insurance.