Preventive Health Care for Children: Experience from Selected Foreign Countries : Report to the Chairman, Committee on Finance, U.S. Senate

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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.

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