logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Comparison of inpatient charges between academic and nonacademic services in a children's hospital.

    Article - En anglais

    Objective

    To compare inpatient hospital charges generated within a children's hospital by academic and nonacademic pediatric services for common medical diagnoses.

    Methods

    Hospital admissions to a free-standing children's hospital between 9/1/90 and 8/30/94 were selected for patients who were hospitalized 1 to 14 days, with one of six selected diagnoses, and with discharge attending of record either a private pediatrician or an academic sub-specialist.

    Discharge diagnoses, based on ICD-9 codes, included asthma (n=1983), bronchiolitis (n=692), gastroenteritis (n=733), rule out sepsis (n=1065), urinary tract infection (n=516), and viral meningitis (n=288).

    Charges associated with patient records were dichotomized as above or below the median charge for each diagnostic category.

    Each category was analyzed separately using a logistic regression model where the dichotomous-dependent variable was charges above the median charge for each diagnosis.

    Independent variables included physician type, payor status, patient residence, ICD-9 code as primary or secondary diagnosis, patient age, and presence of complicating conditions.

    Results

    By univariate comparison, academic physicians cared for a higher percentage of underinsured patients, and their care was more expensive.

    Complicated claims were associated with higher charges than uncomplicated claims for all diagnostic categories. (...)

    Mots-clés Pascal : Hospitalisation, Enfant, Homme, Etats Unis, Amérique du Nord, Amérique, Coût, Etude comparative, Hôpital général, Centre hospitalier universitaire, Nourrisson

    Mots-clés Pascal anglais : Hospitalization, Child, Human, United States, North America, America, Costs, Comparative study, General hospital, Teaching hospital, Infant

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0185285

    Code Inist : 002B30A04B. Création : 21/05/1997.