RT Book, Section A1 Raphael, Jean L. A1 Giardino, Angelo P. A2 Kline, Mark W. SR Print(0) ID 1182915567 T1 US Healthcare System T2 Rudolph's Pediatrics, 23e YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9781259588594 LK accesspediatrics.mhmedical.com/content.aspx?aid=1182915567 RD 2024/03/28 AB In order to provide high-quality care to children in an evolving healthcare landscape, it is becoming increasingly imperative that pediatricians become familiar with the fundamental components of the US healthcare system. Over the past decade, healthcare providers have experienced reforms across a diverse set of areas—frameworks of health and health care, reimbursement, performance measurement and performance-based incentives, healthcare coverage, quality improvement, and information technology. All of these reforms critically impact the environment in which pediatricians practice, the types of functions to which they are accountable, and how they can best advocate for the needs of children. As pediatricians attempt to adapt and thrive in the new environment of health care, they do so with the understanding that many reforms are based on adult models of care that do not reflect the unique characteristics and experiences of children within the healthcare system. According to a model first conceptualized by Forrest et al in 1997, and later modified by Stille et al in 2010, children differ from adults in the 5 Ds: