Published online February 16, 2009
PEDIATRICS Vol. 123 Supplement March 2009, pp. S205-S210 (doi:10.1542/peds.2008-2233L)
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SUPPLEMENT ARTICLE



Paying for Quality Care: Implications for Racial and Ethnic Health Disparities in Pediatric Asthma

Cara V. James, PhDa and Sara Rosenbaum, JDb

a Henry J. Kaiser Family Foundation, Washington, DC
b Department of Health Policy, George Washington University School of Public Health and Health Services, Washington, DC

Children who are from racial and ethnic minority groups, are of low income, or are both are affected disproportionately by asthma. Despite advances in the treatment and management of asthma, including the development of guidelines for clinical practice, substantial racial, ethnic, and socioeconomic disparities exist in both health care quality and health outcomes. Financial incentives generally have the potential to improve overall quality and, when targeted specifically toward disparity reduction, may be able to help close the quality gap. For this strategy to succeed, however, efforts must be made to eliminate fundamental access barriers created by uneven, unstable, and seriously constrained health care financing for low-income children.


Key Words: health status disparities • population characteristics • incentive reimbursements • childhood asthma prevalence

Abbreviations: HEDIS—Healthcare Effectiveness and Data Information Set • P4P—pay for performance


Accepted Nov 4, 2008.


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N. Lurie, H. E. Mitchell, and F. J. Malveaux
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Pediatrics, March 1, 2009; 123(Supplement_3): S211 - S214.
[Abstract] [Full Text] [PDF]