by Talmadge E. King Jr, MD, Margaret Wheeler, MD, Alicia Fernandez, MD, Dean Schillinger, MD, Andy Bindman, MD, Kevin Grumbach, MD, and Teresa Villela, MD, 408 pp, $42.95, ISBN-10 007-144-3312, New York, New York, McGraw-Hill Medical, 2006.
In the United States today, vulnerable and underserved patients are often sicker when they finally enter the health care system because of adverse factors, such as lack of food, substandard housing, or discrimination. Problems with health care access and delivery only widen these gaps. The notion that medical care of low-income families and other vulnerable populations requires special attention to both social and medical factors that influence child health is relatively new.1 Thirty years ago, even the concept of pediatric care with a primary preventive focus was considered experimental.2
Medical Management of Vulnerable and Underserved Patients. Arch Pediatr Adolesc Med. 2008;162(5):493. doi:10.1001/archpedi.162.5.493