JAMA pediatrics
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Validated patient-reported outcomes responsive to clinical change are needed to evaluate the effectiveness of quality improvement interventions. ⋯ The PedsQL demonstrated responsiveness, construct validity, and predictive validity in hospitalized pediatric patients. The PedsQL may be a useful patient-reported outcome for hospital-based clinical effectiveness research.
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The 2010 Affordable Care Act (ACA) included expansion of insurance coverage for young adults and improved access to preventive care. ⋯ The ACA provisions appear to increase insurance coverage and receipt of preventive services among young adults. Further studies are needed to replicate these findings as other ACA provisions are implemented.