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ARTICLE: Allison Kempe, Brenda Beaty, Brian P. Englund, Robert J. Roark, Nellie Hester, and John F. Steiner Quality of Care and Use of the Medical Home in a State-Funded Capitated Primary Care Plan For Low-Income Children Pediatrics 2000; 105: 1020-1028 [Abstract] [Full text] [PDF]

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More on health care for low income children

Rafael Nunez   (4 May 2000)

More on health care for low income children 4 May 2000
Rafael Nunez, Assistant Professor University of Zurich, Institute of Virology Send letter to journal: Re: More on health care for low income children rafaeln{at}vetvir.unizh.ch Rafael Nunez	Dear Sir, to evaluated the presence of asthma as a parameter of effective response in the three groups of children is a very interesting approach, but could miss some other more obvious diseases that properly reflect the improvement in the quality of the health for the low income children. I feel that by evaluating for example, the presence and number of episodies of acute respiratory infections (ARI) and acute diarrhea (AD) could produce more significant values for the group in the low income bracket. It is well known that in populations of low income, like the existing in third world countries or children located in the poverty bracket in well developed countries, the fact of receiving primary care, yield a significant reduction in the mortality, hospitalization rate, the immunization scheme is completed, and the malnutrition is controlled. The presence of ARI and AD are detected early and yield less complications. Therefore, I consider that this study if additional parameters were added and evaluated, could have a more broad impact, and even yield to the development of similar health care structure as the reported in Colorado in another locations worldwide.