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  1. The influence of chronic disease on resource utilization in common acute pediatric conditions : Financial concerns for children's hospitals.

    Article - En anglais

    Objectives 

    To estimate the resource utilization in hospitalizations for common pediatric conditions or procedures involving patients with chronic disease vs those with no chronic disease and to develop an economic model of hospital per-patient profit (or loss) when insurance contracts fail to account for the presence of chronic disease.

    Setting and Design 

    A retrospective analysis of selected acute pediatric conditions found in the 1991 and 1992 MedisGroups National Comparative Data Base.

    Patients 

    We studied 30 379 pediatric admissions for common acute conditions, including concussion, croup, pneumonia, appendicitis, gastroenteritis, fractures, cellulitis, urinary tract infection, and viral illness.

    Main Outcome Measures 

    Hospital length of stay and total hospital charges.

    Results 

    For patients without chronic disease, mean (geometric) length of stay was 2.53 vs 3.05 days (P<. 001) for patients with at least I chronic disease, For patients without chronic disease, mean (arithmetic) total hospital charge was $2614 vs $3663 (P<. 001) for patients with at least I chronic disease.

    Assuming 75% of patients with chronic disease arc admitted to a children's hospital vs 25% to a general hospital, overall loss per patient at the children's hospital ranged between 1.5% and 2.9%, depending on assumptions regarding cost-to-charge ratios and the treatment of charge outliers.

    Pneumonia cases were associated with a 4.0% to 5.85% loss. (...)

    Mots-clés Pascal : Maladie, Chronique, Etude comparative, Hospitalisation, Durée, Analyse coût, Pédiatrie, Etats Unis, Amérique du Nord, Amérique, Enfant, Homme

    Mots-clés Pascal anglais : Disease, Chronic, Comparative study, Hospitalization, Duration, Cost analysis, Pediatrics, United States, North America, America, Child, Human

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

    Cote : 99-0153608

    Code Inist : 002B30A04B. Création : 16/11/1999.