Hospital and Community Characteristics Associated With Pediatric Direct Admission to Hospital

Hospital and Community Characteristics Associated With Pediatric Direct Admission to Hospital
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DOI:
10.1016/j.acap.2017.10.002
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发表时间:
2018-07-01
影响因子:
3.1
通讯作者:
Lindenauer, Peter K.
Lindenauer, Peter K.
中科院分区:
医学3区
文献类型:
--
作者:
Leyenaar, JoAnna K.;Shieh, Meng-Shiou;Lindenauer, Peter K.

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OBJECTIVES: One quarter of pediatric hospitalizations begin as direct admissions, defined as hospitalization without receiving care in the hospital's emergency department (ED). Direct admission rates are highly variable across hospitals, yet previous studies have not examined reasons for this variation. We aimed to determine the relationships between hospital and community factors and pediatric direct admission rates, and to evaluate the degree to which these characteristics explain variation in risk adjusted direct admission rates.METHODS: We conducted a cross-sectional study of the Healthcare Cost and Utilization Project's Kids Inpatient Database, American Hospital Association Database, and Area Health Resource File, including children