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Opinion VIEWPOINT A Need to Reframe “Children Are Not Small Adults” Thenotionthat“childrenarenotsmalladults”hasdeep not.” Would child health researchers wish that fewer chil- Matthew M. Davis, MD, MAPP roots in intellectual thought. Influential scientists (Jean dren were healthy, to level the playing field of research Child Health Evaluation Piaget,PhD),educators(MariaMontessori,MD),andphi- funding? Certainly not—but they do not have to return and Research Unit, losophers (Jean-Jacques Rosseau) each described how todaysbeforesanitationandimmunizationtoarguethat Division of General children are not only shorter in stature than adults, but child illness deserves more attention. Pediatrics, Division of General Medicine, also fundamentally different in their thoughts, actions, Instead, they need only argue that children in bad Robert Wood Johnson and consciousness. healtharejustassickcomparedwiththeirhealthierpeers Foundation Clinical Pediatricians have long adopted “children are not as are adults in bad health vs their peers (Figure). When Scholars Program, small adults” as a motivating mantra. Child health re- comparing annual health care expenditures of individu- Institute for Healthcare Policy and Innovation, searchers utter the same aphorism to justify scientific in- alsintheUnitedStateswithindifferentagegroupsbycur- and Gerald R. Ford quiries specific to children’s health conditions and con- rent health status, spending is progressively higher as School of Public Policy, cerns and to remind public and private stakeholders healthstatusworsens.Althoughtheabsolutemagnitude University
JAMA Pediatrics – American Medical Association
Published: Jul 1, 2013
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