To examine the current delivery of inpatient hospital services to a statewide population of rural children, define the types of pediatric conditions currently treated in rural hospitals or transferred to urban centers, and explore the role of rural pediatricians and family practitioners in the care of children in rural hospitals.
Retrospective review of statewide hospital discharge data.
All patients younger than 18 years of age with nonsurgical diagnoses discharged from both urban and rural civilian hospitals in Washington State during 1989 and 1990.
Of 69 690 pediatric hospital discharges during the study period, 16% were rural residents and 10% were from rural hospitals.
Rural hospitals cared for 59% of hospitalized rural children.
Marked differences were found between urban and rural hospitals in the diagnoses treated ; more than two-thirds of all discharges for chemotherapy, psychiatric disorders, and neonates with multiple major problems were from urban hospitals ; but the majority of the discharges for gastrointestinal diagnoses, respiratory conditions, or minor problems in the neonatal period were from rural hospitals.
Rural hospitals with staff pediatricians had higher annual pediatric discharges, total charges, lengths of stay, and case mix with a higher proportion of neonates with complications, compared to hospitals without pediatricians. (...)
Mots-clés Pascal : Hôpital, Milieu rural, Nouveau né, Homme, Nourrisson, Enfant, Soin, Morbidité, Transfert, Organisation santé, Washington, Etats Unis, Amérique du Nord, Amérique, Rôle professionnel, Médecin généraliste, Hospitalisation, Pédiatrie
Mots-clés Pascal anglais : Hospital, Rural environment, Newborn, Human, Infant, Child, Care, Morbidity, Transfer, Public health organization, Washington, United States, North America, America, Occupational role, General practitioner, Hospitalization, Pediatrics
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0190857
Code Inist : 002B30A04D. Création : 21/05/1997.