Published online April 1, 2005
PEDIATRICS Vol. 115 No. 4 April 2005, pp. 1202-1208 (doi:10.1542/peds.2004-2825U)
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SUPPLEMENT ARTICLE

Integrating Pediatrics and Public Health

Jeffrey Goldhagen, MD, MPH

From the Department of Pediatrics, University of Florida, Jacksonville, Florida; and Duval County Health Department, Jacksonville, Florida

The demographics of children in the United States and the determinants of child health outcomes are evolving rapidly. This evolution will require those responsible for children's health and well-being to acquire new skills and access new resources in the future to ensure the relevance of the field of pediatrics to the health of children. The objective of this article is to define a new paradigm for the practice of pediatrics that integrates the knowledge, attitudes, and skills of pediatrics with the principles, practice, and resources of public health to address the current challenges to child health in the United States. Historical and contemporary advances in the understanding of child health provide a precedent and framework to facilitate this integration.

Key Words: pediatrics • public health • social determinants • medicine and public health

Abbreviations: AAP, American Academy of Pediatrics • CATCH, Community Access to Child Health • SCHIP, State Children's Health Insurance Program

Accepted Dec 22, 2004.




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