Children with chronic conditions increasingly use available resources in children's hospitals
Children with chronic conditions increasingly used more resources in a group of children's hospitals compared with patients without a chronic condition, according to a report that analyzed data from 28 U.S. children's hospitals between 2004 and 2009, and is being published Online First by Archives of Pediatrics & Adolescent Medicine.
To compare inpatient resource use trends for healthy children and children with chronic health conditions of varying degrees of medical complexity, Jay G. Berry, M.D., M.P.H., with Children's Hospital Boston and Harvard Medical School, and colleagues, analyzed data from 1,526,051 unique patients hospitalized from January 2004 through December 2009, who were assigned to one of five chronic condition groups.
The authors found that between 2004 and 2009, hospitals experienced a greater increase in the number of children hospitalized with vs. without a chronic condition (19.2 percent vs. 13.7 percent) and the greatest cumulative increase (32.5 percent) was attributable to children with a significant chronic condition affecting two or more body systems. These children accounted for 19.2 percent (n=63,203) of patients, 27.2 percent (n=111,685) of hospital discharges, 48.9 percent (n=1.1 million) of hospital days, and 53.2 percent (n=$9.2 billion) of hospital charges in 2009.
"Children's hospitals must ensure that their inpatient care systems and payment structures are equipped to meet the protean needs of this important population of children," the authors conclude.
In an accompanying editorial, Julia A. McMillan, M.D., with Johns Hopkins School of Medicine, Baltimore, writes, "if the data provided by Berry et al can be assumed to be representative of other large pediatric hospitals, there are important implications for pediatric resident education."
"The challenge for residency program directors is to ensure that the lessons learned caring for complex patients with lifelong chronic illness in the inpatient setting are not forgotten when residents see those patients during subspecialty clinic assignments or during their continuity clinic," they conclude.
In another accompanying editorial, Evan S. Fieldston, M.D., M.B.A., M.S., and Steven M. Altschuler, M.D., of The Children's Hospital of Philadelphia, write, "Freestanding children's hospitals play a unique role in caring for children, particularly those with special needs…Therefore, the implications for the future of pediatric health care and its reimbursement are profound"
"Challenges will continue to be present in how to match patient needs and preferences and how to properly align payment for them. Given limited resources, the obligation of pediatric health care providers to society is to do our best to promote the best outcomes at the right level of efficiency and cost," they conclude.
More information: Arch Pediatr Adolesc Med. Published online December 24, 2012. doi:10.1001/jamapediatrics.2013.432
Arch Pediatr Adolesc Med. Published online December 24, 2012. doi:10.1001/jamapediatrics.2013.406
Arch Pediatr Adolesc Med. Published online December 24, 2012. doi:10.1001/jamapediatrics.2013.126
Journal reference: JAMA Pediatrics
Provided by JAMA and Archives Journals
- Neurologically impaired children dependent on children's hospitals Jan 17, 2012 | not rated yet | 0
- Study takes first steps to improve the quality of health care for chronically ill children Nov 16, 2010 | not rated yet | 0
- Smoke-exposed children with flu more likely to need ICU care May 02, 2011 | not rated yet | 0
- Medical complications in hospitalized children: The Canadian Paediatric Adverse Events Study Aug 01, 2012 | not rated yet | 0
- Adult congenital heart patients with highest surgery costs more likely to die in hospital Oct 18, 2011 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
gravity is std. therefore can we rate a 'mass at height' by watts?
3 hours ago For example.... wind turbines are primarily listed by their wattage (1.5MW etc.) Presumably their output is varied according to rotational speed, so...
Calculating on-axis elements of a solenoid
15 hours ago I wanted to mention that this solenoid has many winds over many layers. The thickness of the windings is 2.4 inches coming off of the engineering...
latitude & longitude & air pressure
16 hours ago Hi there, I have a peculiar question. Imagine that you are in a earth position, obtained by google, that gives you the latitude and longitude....
Differences of Classical Mechanics when learned with Calc vs algebra?
19 hours ago what are the differences? Every example I find usually has a derivative or integral or some kind of calculus defined concept that seems to make it...
what is the distance traveled
23 hours ago A rough sketch of experiment. Image: http://i43.tinypic.com/14t4sk5.png the red dots represent a side view of path traveled, F is downward force...
Image of a Convex Lens Cut in Half Horizontally
May 22, 2013 Hello everyone, A friend of mine came up with this question in class and I really do not have a good answer. Suppose you have a convex lens...
- More from Physics Forums - Classical Physics
More news stories
Existing research shows that bicyclists who wear helmets have an 88 percent lower risk of brain injury, but researchers at Boston Children's Hospital found that simply having bicycle helmet laws in place showed a 20 percent ...
Pediatrics 12 hours ago | not rated yet | 0
(HealthDay)—Over the last decade, the number of American children who die each year awaiting an organ donation dropped by more than half, new research reveals. And increasing numbers of children are receiving ...
Pediatrics 20 hours ago | not rated yet | 0
Phthalates: Study links chemicals widely found in plastics, processed food to elevated blood pressure in children, teens
Plastic additives known as phthalates (pronounced THAL-ates) are odorless, colorless and just about everywhere: They turn up in flooring, plastic cups, beach balls, plastic wrap, intravenous tubing and—according to the ...
Pediatrics May 22, 2013 | not rated yet | 1 |
A study by Alexandra L. C. Martiniuk, M.Sc, Ph.D., of The George Institute for Global Health, Sydney, Australia, and colleagues suggests less sleep per night is associated with a significant increase in the risk for motor ...
Pediatrics May 20, 2013 | not rated yet | 0
Whole-cell pertussis vaccines were more effective at protecting against pertussis than acellular pertussis vaccines during a large recent outbreak, according to a new Kaiser Permanente study published in Pediatrics.
Pediatrics May 20, 2013 | not rated yet | 0 |
A brief visual task can predict IQ, according to a new study. This surprisingly simple exercise measures the brain's unconscious ability to filter out visual movement. The study shows that individuals whose ...
18 minutes ago | 5 / 5 (1) | 0 |
A study by researchers at Henry Ford Hospital found "substantial evidence" that a regenerative process involving damaged nerve fibers in the spinal cord could hold the key to better functional recovery by most stroke victims.
30 minutes ago | not rated yet | 0 |
As the human body fine-tunes its neurological wiring, nerve cells often must fix a faulty connection by amputating an axon—the "business end" of the neuron that sends electrical impulses to tissues or other ...
29 minutes ago | not rated yet | 0 |
Scientists have uncovered a survival mechanism that occurs in breast cells that have just turned premalignant-cells on the cusp between normalcy and cancers-which may lead to new methods of stopping tumors.
20 minutes ago | not rated yet | 0 |
Gaucher disease causes debilitating and sometimes fatal neurodegeneration in early childhood. Recent studies have uncovered a link between the mutations responsible for Gaucher disease and an increased risk ...
6 minutes ago | not rated yet | 0 |
Nervous about that upcoming job interview? You might want to take steps to reduce your jitters, especially if you are a man.
1 hour ago | not rated yet | 0