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Dr Schor's call for "a single authoritative source of standards for well-child care" (1) has stirred considerable angst and soul searching about primary care pediatrics in both the academic and [...]

Proposes a health care financing system for health insurance in the U.S. Identification of the health insurance-related problems in the country which require solutions; Analysis of the solutions offered by the proposed health financing system; Discussion on the other advantages offered by the proposed health financing system.

A pediatric assistant performs health screening examinations in a private pediatric practice without the presence of the doctor. Only patients between the ages of 6 to 12 years who have no apparent significant problems and who have had a complete physical and history by a pediatrician the year previously are accepted for the screening, which includes a system review, height, weight, visual and hearing testing, hemoglobin, urinalysis, and immunizations. The pediatric assistant, chosen for her ability to communicate with mothers, is of special value in listening to minor complaints. The chart is reviewed by the child's pediatrician and problems are discussed with the assistant. Physician follow-up is accomplished if deemed helpful. This is accepted by patients, allows continuity of personal comprehensive medical care in the pediatric orifice at a reduced cost, and allows the physician more time for patient care while increasing efficient use of paramedical personnel. Possible misuse of screening examinations, with resulting impersonal and fragmented medical care, is discussed. [ABSTRACT FROM AUTHOR]

Comments on the focus of the American Academy of Pediatrics. Campaign of the academy to promote pediatrics and pediatricians; Benefits of the increase in the number of pediatricians; Concept of continuous, comprehensive personal care developed by most pediatricians.

Presents information on the child health care financing. Standards for comprehensiveness and quality assurance; Standards for cost-containment.