{'fraction_non_alphanumeric': 0.03234880450070324, 'fraction_numerical': 0.0028129395218002813, 'mean_word_length': 5.40990990990991, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Society of pediatric psychology presidential address: back to the future in pediatric psychology: promoting effective, accessible, and affordable interventions.

Pediatric psychologists have been affected by the political and economic changes in health care during the last few years. The changes manifested in the new models of health care delivery (i.e., managed care) have stressed practitioners (Roberts & Hurley, 1997). While trying to maintain quality of care, practitioners must also attempt to contain cost and provide unencumbered access to services. This situation has created questions about the value of our services. Defining the value of pediatric psychology interventions is complex since it involves the interrelationship between cost, quality, and access. Pediatric psychology has historically emphasized engaging in more applied intervention research, analyzing the benefit and cost of interventions, and looking toward prevention as the most cost-effective of all possible interventions. Thus, the historical roots of pediatric psychology may help to provide a practical template by which the question of value in health care delivery can be understood and effectively negotiated in the future. This article will examine the value of the services provided by pediatric psychologists in terms of the interface between accessibility (i.e., fast), cost (i.e., cheap), and quality (i.e., good). Although the