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Essential contractual language for medical necessity in children

机译：儿童医疗必需的基本合同语言

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The previous policy statement from the American Academy of Pediatrics, "Model Language for Medical Necessity in Children," was published in July 2005. Since that time, there have been new and emerging delivery and payment models. The relationship established between health care providers and health plans should promote arrangements that are beneficial to all who are affected by these contractual arrangements. Pediatricians play an important role in ensuring that the needs of children are addressed in these emerging systems. It is important to recognize that health care plans designed for adults may not meet the needs of children. Language in health care contracts should reflect the health care needs of children and families. Informed pediatricians can make a difference in the care of children and influence the role of primary care physicians in the new paradigms. This policy highlights many of the important elements pediatricians should assess as providers develop a role in emerging care models. Pediatrics 2013;132:398-401
机译：美国儿科学会先前的政策声明“儿童医疗必需品的标准语言”于2005年7月发布。自那时以来，出现了新的和正在出现的交付和付款模型。卫生保健提供者与卫生计划之间建立的关系应促进对所有受这些合同安排影响的人有利的安排。儿科医生在确保这些新兴系统中满足儿童需求方面发挥着重要作用。重要的是要认识到为成人设计的保健计划可能无法满足儿童的需求。卫生保健合同中的语言应反映儿童和家庭的卫生保健需求。知情的儿科医生可以在儿童照料方面有所作为，并在新的范例中影响初级保健医师的作用。该政策强调了当提供者在新兴护理模式中发挥作用时，儿科医生应评估的许多重要因素。儿科2013; 132：398-401

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