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  1. Neonatal hospital lengths of stay, readmissions, and charges.

    Article - En anglais

    Objective

    To evaluate trends in length of hospital stay, hospital charges, and readmission rates of Wisconsin newborns from 1989 through 1994 in light of recent policies requiring earlier discharges after delivery of newborns.

    Methodology

    Two data sources were used :

    1) 1989-1994 Hospital Inpatient Discharge Data from the Wisconsin Office of Health Care Information, and 2) 1994 birth certificate and matched infant mortality data from the Wisconsin Center for Health Statistics.

    Average lengths of stay and average hospital (delivery and readmission) charges were calculated, and readmission rates were estimated for full-term, premature, and sick newborns.

    Results

    There were 368 955 full-term and 26 668 premature newborns in Wisconsin from 1989 through 1994.

    The average length of stay decreased by 24% in full-term newborns from 1989 through 1994, while average hospital (delivery and readmission) charges rose over 40% during the same period.

    Average length of stay for premature infants increased by 24% while their hospital delivery charges increased 214% during the study period.

    Readmission rates halved, yet charges per readmission doubled for full-term infants.

    More than twice as many full-term newborns were classified as sick in 1994 (43%) compared with 1989 (19%). Conclusions.

    Managed care efforts to control costs of neonatal care through earlier newborn discharge policies may have limited impact. (...)

    Mots-clés Pascal : Durée, Hospitalisation, Décharge, Précoce, Nouveau né pathologie, Etude cohorte, Wisconsin, Etats Unis, Amérique du Nord, Amérique, Nouveau né, Homme, Prématuré, Malade, Réhospitalisation, Prise charge, 1989-1994, Né à terme

    Mots-clés Pascal anglais : Duration, Hospitalization, Discharge, Early, Newborn diseases, Cohort study, Wisconsin, United States, North America, America, Newborn, Human, Premature, Patient, Full term

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

    Cote : 98-0090839

    Code Inist : 002B30A01C. Création : 14/05/1998.