Health care reform is bringing about significant changes in the way health services are structured and delivered to children with chronic health conditions. Research suggests that the availability of health care services and the quality of interactions within the health care system have an immense impact on the lives of these children. But services are often fragmented, shaped by priorities that compete with children's needs, or are not accessible to all families. Gladys McPherson's research focuses on how the structure and organization of health care, as well as the nature and quality of interactions within the health care system, shape the lives of children with chronic health conditions. She is exploring how the principles and priorities in the health care system influence the lives of children with chronic health conditions, and the impact of their experiences with the system on their well-being, growth and development.