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Criteria for identification of comprehensive pediatric hospitals and referral regions
Robert K Kanter1, Franklin Dexter
1Department of Pediatrics, Upstate Medical University, Syracuse, NY 13210, USA. kanterr@upstatte.edu
Insights
Eleven comprehensive pediatric hospitals were identified in New York using specific criteria. These leading pediatric facilities serve large populations, ensuring wide and equitable access to specialized care.
Area of Science:
- Pediatric Healthcare
- Hospital Systems Analysis
- Public Health Policy
Background:
- Defining comprehensive pediatric hospitals is crucial for understanding healthcare access and quality.
- Publicly available data can be leveraged to identify specialized healthcare facilities.
- Established criteria, including accreditation, patient volume, and diagnostic diversity, are key to identification.
Discussion:
- The study identified 11 comprehensive pediatric hospitals in New York State based on rigorous criteria.
- These hospitals collectively serve a significant portion of the state's pediatric population, indicating their central role.
- The distribution of these hospitals suggests a wide and even service coverage across the state.
Key Insights:
- A defined methodology successfully identified 11 comprehensive pediatric hospitals.
- These identified hospitals cater to large populations, averaging 1.7 million people.
- The identified hospitals provide care for 29% of all pediatric hospitalizations in New York.
Outlook:
- Identifying comprehensive pediatric hospitals enables quality of care evaluations.
- This identification can inform regulatory interventions to optimize pediatric hospital utilization.
- Further research can explore the specific services and outcomes associated with these identified hospitals.
Objective:
To identify comprehensive pediatric hospitals on the basis of publicly available data.
Study Design:
We developed identification criteria for comprehensive pediatric hospitals, then evaluated the number of hospitals meeting these selection criteria. Criteria for a comprehensive pediatric hospital included pediatric residency accreditation, pediatric inpatient volume, and diversity of pediatric disorders at each hospital. New York State hospital administrative discharge data were analyzed for patients 0 to 14 years of age, excluding neonatal diagnoses.
Results:
Infants and children (n = 125,588) with 375 different diagnosis-related groups were discharged from 230 hospitals in 2000. Through the use of higher selective criteria (educational accreditation plus both high volume and diversity in the top decile), 11 comprehensive pediatric hospitals were identified. These hospitals serve populations of 1.7 +/- 0.3 million (mean +/- SD) each, with 8 referral regions throughout the state, collectively providing care for 29% of all pediatric statewide hospitalizations.
Conclusions:
Comprehensive pediatric hospitals serve the population of New York widely and evenly. The ability to identify pediatric hospitals will permit evaluation of the relative quality of care and suggest appropriate regulatory interventions to improve pediatric hospital utilization.
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