EPSDT in the Commonwealth of Pennsylvania, 1967-1991: a case study of a federally-sponsored, state-administered program.
Understanding the state-level processes that can shape the operations of health and welfare programs is of particular importance today. This article describes the process by which the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program was implemented in the Commonwealth of Pennsylvania. The case study highlights the factors that facilitated and hindered the transformation of this federal policy into a local program. Implications for children's health programming are identified.
Copeland
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VC
School of Social Work, University of Pittsburgh, PA 15260, USA.
Wexler
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D002648:Child; D002662:Child Health Services / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D004608:Eligibility Determination; D005380:Financing, Government; D006291:Health Policy; D006801:Humans; D008403:Mass Screening; D019982:Organizational Case Studies; D010414:Pennsylvania; D011314:Preventive Health Services / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D013221:State Health Plans / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D014481:United States