Variations in Costs for the Care of Low-Birth-Weight Infants Among Academic Hospitals
Objectives: To determine the relative role that academic hospitals (AHs) play in providing neonatal care for low-birth-weight infants within a single state and to determine if there are variations in inpatient costs for neonatal services among AHs. Design: Retrospective analysis of hospital costs fo...
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| Veröffentlicht in: | Clinical pediatrics 2010-05, Vol.49 (5), p.443-449 |
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| creator | Herrod, Henry G. Chang, Cyril F. Steinberg, Stephanie S. |
| description | Objectives: To determine the relative role that academic hospitals (AHs) play in providing neonatal care for low-birth-weight infants within a single state and to determine if there are variations in inpatient costs for neonatal services among AHs. Design: Retrospective analysis of hospital costs for low-birth-weight infants. Setting: Cases were identified using 2003-2005 data from the Tennessee Hospital Discharge Data System. A specific focus was discharge data from the 5 AHs that support obstetrical residencies and have a neonatal intensive care unit. Participants: Cases included all discharged infants with a birth weight of |
| doi_str_mv | 10.1177/0009922809341750 |
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Design: Retrospective analysis of hospital costs for low-birth-weight infants. Setting: Cases were identified using 2003-2005 data from the Tennessee Hospital Discharge Data System. A specific focus was discharge data from the 5 AHs that support obstetrical residencies and have a neonatal intensive care unit. Participants: Cases included all discharged infants with a birth weight of <2500 grams. Results: The 5 AHs discharged 18% of the total normal-birth-weight infants and 30% of the low-birth-weight infants for the entire state. AHs had higher costs associated with these infants than did other hospitals, with a single exception The difference in costs at this hospital was consistent with the finding of lower utilization rates of hospital services, a shorter average length of stay, and lower costs for infants insured by the state Medicaid program. Conclusion: Academic obstetrical hospitals discharged a disproportionately high percentage of low-birth-weight infants compared with other Tennessee hospitals. The lower costs observed in the Shelby County hospital indicates that other hospitals could potentially lower their costs for the care of low-birth-weight infants.</description><identifier>ISSN: 0009-9228</identifier><identifier>EISSN: 1938-2707</identifier><identifier>DOI: 10.1177/0009922809341750</identifier><identifier>PMID: 19643980</identifier><identifier>CODEN: CPEDAM</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Academic Medical Centers - economics ; Babies ; Birth Weight ; Cost-Benefit Analysis ; Critical Care - economics ; Critical Care - methods ; Databases, Factual ; Female ; Gestational Age ; Hospital Costs ; Hospital Mortality - trends ; Hospitals ; Humans ; Infant Care - economics ; Infant Mortality - trends ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Very Low Birth Weight ; Intensive Care Units, Neonatal - economics ; Length of Stay - economics ; Male ; Neonatal care ; Pediatrics ; Pregnancy ; Probability ; Reference Values ; Retrospective Studies ; Risk Factors ; United States</subject><ispartof>Clinical pediatrics, 2010-05, Vol.49 (5), p.443-449</ispartof><rights>The Author(s) 2010</rights><rights>Copyright Westminster Publications, Inc. May 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c363t-e98470fbbf324ba9ca7b45313f2271ed5d29a89d8aba62c008b5edb1891ed4763</citedby><cites>FETCH-LOGICAL-c363t-e98470fbbf324ba9ca7b45313f2271ed5d29a89d8aba62c008b5edb1891ed4763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0009922809341750$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0009922809341750$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19643980$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Herrod, Henry G.</creatorcontrib><creatorcontrib>Chang, Cyril F.</creatorcontrib><creatorcontrib>Steinberg, Stephanie S.</creatorcontrib><title>Variations in Costs for the Care of Low-Birth-Weight Infants Among Academic Hospitals</title><title>Clinical pediatrics</title><addtitle>Clin Pediatr (Phila)</addtitle><description>Objectives: To determine the relative role that academic hospitals (AHs) play in providing neonatal care for low-birth-weight infants within a single state and to determine if there are variations in inpatient costs for neonatal services among AHs. Design: Retrospective analysis of hospital costs for low-birth-weight infants. Setting: Cases were identified using 2003-2005 data from the Tennessee Hospital Discharge Data System. A specific focus was discharge data from the 5 AHs that support obstetrical residencies and have a neonatal intensive care unit. Participants: Cases included all discharged infants with a birth weight of <2500 grams. Results: The 5 AHs discharged 18% of the total normal-birth-weight infants and 30% of the low-birth-weight infants for the entire state. AHs had higher costs associated with these infants than did other hospitals, with a single exception The difference in costs at this hospital was consistent with the finding of lower utilization rates of hospital services, a shorter average length of stay, and lower costs for infants insured by the state Medicaid program. Conclusion: Academic obstetrical hospitals discharged a disproportionately high percentage of low-birth-weight infants compared with other Tennessee hospitals. The lower costs observed in the Shelby County hospital indicates that other hospitals could potentially lower their costs for the care of low-birth-weight infants.</description><subject>Academic Medical Centers - economics</subject><subject>Babies</subject><subject>Birth Weight</subject><subject>Cost-Benefit Analysis</subject><subject>Critical Care - economics</subject><subject>Critical Care - methods</subject><subject>Databases, Factual</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Hospital Costs</subject><subject>Hospital Mortality - trends</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant Care - economics</subject><subject>Infant Mortality - trends</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Very Low Birth Weight</subject><subject>Intensive Care Units, Neonatal - economics</subject><subject>Length of Stay - economics</subject><subject>Male</subject><subject>Neonatal care</subject><subject>Pediatrics</subject><subject>Pregnancy</subject><subject>Probability</subject><subject>Reference Values</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>United States</subject><issn>0009-9228</issn><issn>1938-2707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMFLwzAYxYMobk7vniR48VT9krRNcpxD3WDgxemxJG26ZazNTFrE_96MDQYDT-_wfu99Hw-hWwKPhHD-BABSUipAspTwDM7QkEgmEsqBn6Phzk52_gBdhbAGIAwydokGROYpkwKGaPGpvFWddW3AtsUTF7qAa-dxtzJ4orzBrsZz95M8W9-tki9jl6sOz9patREcN65d4nGpKtPYEk9d2NpObcI1uqijmJuDjtDi9eVjMk3m72-zyXielCxnXWKkSDnUWteMplrJUnGdZoywmlJOTJVVVCohK6G0ymkJIHRmKk2EjGbKczZCD_verXffvQld0dhQms1Gtcb1oeCMEZBZDpG8PyHXrvdtfK6gcaacckojBHuo9C4Eb-pi622j_G9BoNgNXpwOHiN3h95eN6Y6Bg4LRyDZA0EtzfHov4V_XHCGPg</recordid><startdate>201005</startdate><enddate>201005</enddate><creator>Herrod, Henry G.</creator><creator>Chang, Cyril F.</creator><creator>Steinberg, Stephanie S.</creator><general>SAGE Publications</general><general>Westminster Publications, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201005</creationdate><title>Variations in Costs for the Care of Low-Birth-Weight Infants Among Academic Hospitals</title><author>Herrod, Henry G. ; Chang, Cyril F. ; Steinberg, Stephanie S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c363t-e98470fbbf324ba9ca7b45313f2271ed5d29a89d8aba62c008b5edb1891ed4763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Academic Medical Centers - economics</topic><topic>Babies</topic><topic>Birth Weight</topic><topic>Cost-Benefit Analysis</topic><topic>Critical Care - economics</topic><topic>Critical Care - methods</topic><topic>Databases, Factual</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Hospital Costs</topic><topic>Hospital Mortality - trends</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant Care - economics</topic><topic>Infant Mortality - trends</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Infant, Very Low Birth Weight</topic><topic>Intensive Care Units, Neonatal - economics</topic><topic>Length of Stay - economics</topic><topic>Male</topic><topic>Neonatal care</topic><topic>Pediatrics</topic><topic>Pregnancy</topic><topic>Probability</topic><topic>Reference Values</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Herrod, Henry G.</creatorcontrib><creatorcontrib>Chang, Cyril F.</creatorcontrib><creatorcontrib>Steinberg, Stephanie S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Herrod, Henry G.</au><au>Chang, Cyril F.</au><au>Steinberg, Stephanie S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Variations in Costs for the Care of Low-Birth-Weight Infants Among Academic Hospitals</atitle><jtitle>Clinical pediatrics</jtitle><addtitle>Clin Pediatr (Phila)</addtitle><date>2010-05</date><risdate>2010</risdate><volume>49</volume><issue>5</issue><spage>443</spage><epage>449</epage><pages>443-449</pages><issn>0009-9228</issn><eissn>1938-2707</eissn><coden>CPEDAM</coden><abstract>Objectives: To determine the relative role that academic hospitals (AHs) play in providing neonatal care for low-birth-weight infants within a single state and to determine if there are variations in inpatient costs for neonatal services among AHs. Design: Retrospective analysis of hospital costs for low-birth-weight infants. Setting: Cases were identified using 2003-2005 data from the Tennessee Hospital Discharge Data System. A specific focus was discharge data from the 5 AHs that support obstetrical residencies and have a neonatal intensive care unit. Participants: Cases included all discharged infants with a birth weight of <2500 grams. Results: The 5 AHs discharged 18% of the total normal-birth-weight infants and 30% of the low-birth-weight infants for the entire state. AHs had higher costs associated with these infants than did other hospitals, with a single exception The difference in costs at this hospital was consistent with the finding of lower utilization rates of hospital services, a shorter average length of stay, and lower costs for infants insured by the state Medicaid program. 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| ispartof | Clinical pediatrics, 2010-05, Vol.49 (5), p.443-449 |
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| subjects | Academic Medical Centers - economics Babies Birth Weight Cost-Benefit Analysis Critical Care - economics Critical Care - methods Databases, Factual Female Gestational Age Hospital Costs Hospital Mortality - trends Hospitals Humans Infant Care - economics Infant Mortality - trends Infant, Low Birth Weight Infant, Newborn Infant, Very Low Birth Weight Intensive Care Units, Neonatal - economics Length of Stay - economics Male Neonatal care Pediatrics Pregnancy Probability Reference Values Retrospective Studies Risk Factors United States |
| title | Variations in Costs for the Care of Low-Birth-Weight Infants Among Academic Hospitals |
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