There is a need for more science in the delivery of health care to children. This statement may appear to be a throwback to a former, less concerned day in this era of turmoil when we recognize the great gaps in health care that exist for many of our disadvantaged children. It may sound as if I was advocating research instead of health care. I am not advocating such polarities, for I believe both science and service are necessary. But the pendulum has swung so far that there is a greater danger, in the decade ahead, of too little science rather than too much in ambulatory health care.
There are two aspects of this need for more science: first, for physicians to continue to learn scientific clinical medicine and, second, to develop the basic science of health care or health services research.
Scientific Clinical Medicine
No one is against good