Focusing on Children's Health Community Approaches to Addressing Health Disparities: Workshop Summary (2009) / Chapter Skim
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4 From Policy to Practice: How Policy Changes Can Affect Children's Lives
4 From Policy to Practice: How Policy Changes Can Affect Children's Lives
Pages 27-34
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From page 27... ...
The implementation of health policy can have far-reaching effects, beyond the health of an individual child stretching to the overall well-being of families and communities, and beyond health, to education, economic welfare, and other aspects of a child's life. Christine Ferguson of the George Washington University spoke about the practical issues of implementing health policy and provided data from several successful programs.
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From page 28... ...
Medicaid eligibility increased the probability of having at least one physician visit each year by about 10 percent. Compared to uninsured children, children covered with private insurance have more primary care visits, more preventive care visits, and more sick care visits each year; these visits translate into statistically significant improvements in immunization rates and an increased percentage of children screened for anemia, lead, and hearing and vision problems (Buchmueller et al., 2005)
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From page 29... ...
There is also likely a positive effect on education costs since families that have children with short interbirth intervals are more likely to access special education programs, Ferguson noted. As part of the original proposal to the Centers for Medicare and Medicaid Services (CMS, which was the Health Care Finance Administration, HCFA, at the time)
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From page 30... ...
For example, a school principal who institutes change may at some point be relieved by the school board who thinks he or she has pushed too far. The same thing happens with state government leaders; so shifting those people around, and putting them in different roles exposes new people to their ideas.
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From page 31... ...
The pivotal moment for Sanders-Butler was one day when she was on lunchroom duty and observed a young overweight boy trading the last of his baseball card collection to another student for chocolate milk and fudge cookies. It was that day, she said, that she decided to create the first sugar-free school in the United States.
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From page 32... ...
Finally garnering the parents' support, she moved to get the students to buy into the program, knowing that they would be the ones who would actually sell the approach at home. The program, entitled "Healthy Kids, Smart Kids," supports academics and fights childhood obesity by giving students the information they need to know about their health so that they will be empowered to make healthy decisions (Sanders-Butler, 2005)
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From page 33... ...
So she convinced her husband to mortgage their home, which was almost paid off. The funds were used to partly help assess the school environment, bring in subject matter experts such as nutritionists and fitness experts to provide staff training, help plan school initiatives and projects, and help plan activities for the school and the community.
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From page 34... ...
. Managed Risk Medical Insurance Board, California Department of Health Services.
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