Population Health in Pediatric Primary Care as a Means to Achieving Child Health Equity

R Neal Davis; Carolyn Reynolds; Elena Dicus; Angelo P Giardino

doi:10.1016/j.pcl.2023.03.004

Population Health in Pediatric Primary Care as a Means to Achieving Child Health Equity

Pediatr Clin North Am. 2023 Aug;70(4):651-666. doi: 10.1016/j.pcl.2023.03.004. Epub 2023 Apr 28.

Authors

R Neal Davis¹, Carolyn Reynolds², Elena Dicus³, Angelo P Giardino⁴

Affiliations

¹ Intermountain Health, Intermountain Children's Health, 5026 South State Street, Murray, UT 84107, USA. Electronic address: Neal.Davis@imail.org.
² Intermountain Health, Intermountain Children's Health, 5026 South State Street, Murray, UT 84107, USA.
³ Intermountain Health, Intermountain Children's Health, 80 North Mario Capecchi Drive, Salt Lake City, UT 84102, USA.
⁴ Department of Pediatrics, University of Utah School of Medicine, Intermountain Primary Children's Hospital, 295 Chipeta Way, Salt Lake City, UT 84108, USA.

PMID: 37422306
DOI: 10.1016/j.pcl.2023.03.004

Abstract

We propose population health as a model of care to advance efforts to achieve child health equity. We use the structure-process-outcome framework to highlight key structures of pediatric population health necessary to catalyze what has been slow progress to date. Using specific ongoing examples, we then show how different models of integrated health care delivery systems align population health structures to enable processes aimed to achieve child health equity. We conclude by highlighting the critical role of committed leadership to drive progress.

Keywords: Child health equity; Clinical integration; Clinically integrated networks; Financial integration; Pediatric primary care; Population health; Social determinants of health.

Publication types

Review

MeSH terms

Child
Health Equity*
Humans
Leadership
Primary Health Care
Social Determinants of Health