Navigation Links
Children with chronic conditions increasingly use available resources in children's hospitals
Date:12/24/2012

CHICAGO 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, a JAMA Network publication.

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. (Arch Pediatr Adolesc Med. Published online December 24, 2012. doi:10.1001/jamapediatrics.2013.432. Available pre-embargo to the media at http://media.jamanetwork.com.)

Editor's Note: This study was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development career development award, a grant from the National Center for Research Resources and Seattle Children's Hospital. One author also reported that he is a co-developer of CRGs and receives a consultation fee from the National Association of Children's Hospitals and Related Institutions for classification research. The Child Health Corporation for America received the CRGs for this analysis from 3M Health Information Systems on a no-cost license. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

Editorial: What Can Be Learned by Residents Caring for Children with Lifelong, Chronic, Complex Conditions?

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.

(Arch Pediatr Adolesc Med. Published online December 24, 2012. doi:10.1001/jamapediatrics.2013.406. Available pre-embargo to the media at http://media.jamanetwork.com.)

Editor's Note: No conflicts of interest were reported. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

Editorial: Implications of the Growing Use of Freestanding Children's Hospitals

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 needsTherefore, 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.

(Arch Pediatr Adolesc Med. Published online December 24, 2012. doi:10.1001/jamapediatrics.2013.126. Available pre-embargo to the media at http://media.jamanetwork.com.)

Editor's Note: No conflicts of interest were reported. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.


'/>"/>
Contact: Rob Graham or Erin Tornatore
Rob.Graham@childrens.harvard.edu
617-919-3110
JAMA and Archives Journals
Source:Eurekalert

Related medicine news :

1. Mount Sinai survey shows that nearly 1 in 3 children with food allergies experience bullying
2. Research sheds new light on mechanisms of T-ALL, a form of leukemia that primarily affects children
3. Children of Older Parents With Cancer May Be at Risk, Too
4. IronKids Reflects on a Year of Giving to Children's Charities After the Success of Their Holiday Campaign
5. Dr. Roxanne Daleo Offers Tips for Managing Stress and Grief in Children After the Sandy Hook Elementary Tragedy
6. Gene Therapy Shows Promise for Rare Childrens Brain Disorder
7. Celebrating Little Girls – Children’s Brand mimvail Announces Debut Collection
8. Fewer Children Injured From Swallowing Caustic Chemicals: Study
9. 2 cups of milk a day ideal for childrens health, new research shows
10. Speaking skills crucial for hearing impaired children in the classroom
11. Drug to treat opioid addiction poses risks for accidental exposure to children
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/2/2016)... (PRWEB) , ... May 02, 2016 , ... East Los ... dental extractions. Currently, patients can visit Dr. Assili to receive any dental extraction treatment ... offer, and it expires June 30, 2016. With the lower price, patients can more ...
(Date:5/2/2016)... ... May 02, 2016 , ... Zitter Health Insights , ... Satisfaction Award that will recognize specialty pharmacies for their achievements in customer satisfaction. ... Specialty Pharmacy Patient Satisfaction Survey compiled throughout 2016. Results will be published in ...
(Date:5/2/2016)... Fla. (PRWEB) , ... May ... ... medical researchers report that many commonly used prescription medications, including anxiolytics, painkillers, ... To mitigate these risks, Novus Medical Detox Center —a leading Florida-based ...
(Date:5/2/2016)... ... May 02, 2016 , ... TeleMedCo™, a new company developing ... and improve the rapid diagnosis, triage and admission of patients leveraging IBM Watson’s ... mobile experience for the first time at GENBAND’s Perspectives16 conference. , TeleMedCo ...
(Date:5/2/2016)... (PRWEB) , ... May 02, 2016 , ... Atlantic Information ... CMS’s Medicare Part B Payment Model Could Transform the Pharma Landscape .” CMS recently ... on reducing its spend on provider-administered drugs while preserving care provided to beneficiaries. The ...
Breaking Medicine News(10 mins):
(Date:4/27/2016)... , Schweiz, April 27, 2016 /PRNewswire/ ... des Sachs CEO Forums in Zürich gab ... ihres führenden Wirkstoffkandidaten STR001 zur Erhaltung des ... eingesetzt wurde, bekannt. Für die umfassende Phase-II-Doppelblindstudie ... und Frankreich angeworben. STR001 wird während der ...
(Date:4/27/2016)... Italy , April 27, 2016 ... linear accelerator (MR-linac) platform will be the focal point ... meeting of the European Society for Radiotherapy & Oncology, ... Elekta,s MR-linac integrates a state-of-the-art radiotherapy system and a ... physician to clearly see the patient,s anatomy in real ...
(Date:4/27/2016)... April 27, 2016 Tie-up with ... initiative to save newborns   Fortis ... & newborns in collaboration with Breast Milk Foundation (BMF), a ... Pasteurized Human Milk Bank, ,Amaara, in Delhi-NCR today. This non-profit ... source for infants and should be available to babies deprived ...
Breaking Medicine Technology: