Medical News and Perspectives
June 9, 2004

Report Cites Shortcomings in Quality of Pediatric Health Care

JAMA. 2004;291(22):2688-2689. doi:10.1001/jama.291.22.2688

While concerns about health care quality in the United States usually center on adult conditions, children also are generally receiving suboptimal care, according to findings by the Commonwealth Fund.

A wide range of quality indicators point to lower levels of health care delivery for younger patients, note authors of a review released last month by the foundation, which supports independent research on health and social issues. The review, Quality of Health Care for Children and Adolescents: A Chartbook (available online at, says that one third of children with asthma do not receive appropriate medications to control the condition, fewer than half of adolescents discuss health behaviors with their clinician, and three fourths of children with severe mental health problems are not evaluated or treated.

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