PMID: 9164768Jun 1, 1997Paper

Socioeconomic variation in discretionary and mandatory hospitalization of infants: an ecologic analysis

Pediatrics
K M McConnochieG S Liptak

Abstract

To examine geographic variation in rates of infant hospitalization for diagnoses classified by type of hospitalization decision in Monroe County (Rochester), New York. Study design was cross-sectional and ecologic. International Classification of Diseases (ICD) codes were used to categorize all 7883 hospitalizations for infants (age, <24 months) beyond the newborn period between 1985 and 1991. Postal zip codes defined socioeconomic areas as inner-city, other urban, and suburban for the population at risk. In 1990, inner-city infants included 62% black and 65% Medicaid-covered infants, whereas suburban infants included 3% black and 6% covered by Medicaid. Hospitalization rates were compared among the three socioeconomic areas. Overall hospitalization rate was 50.3 per 1000 child years. Admissions classified as discretionary accounted for 59% of these, followed by those classified as mandatory, 18%; sometime (congenital heart disease, cleft palate), 15%; discretionary surgery (inguinal hernia, tonsillectomy/adenoidectomy), 6%; and unlikely to need admission, 2%. A stepwise, socioeconomic gradient in hospitalization was found, with rates of 38.1, 51.3, and 82.9 per 1000 child-years, respectively, for suburban, other urban, and inn...Continue Reading

Citations

Mar 7, 2002·Current Opinion in Pediatrics·Paul L McCarthy
Feb 28, 2004·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·David E KanterAnthony D Slonim
Mar 13, 2002·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·M C McCormickL Simpson
Oct 8, 2009·American Journal of Public Health·Liyuan MaRobbin F Itzler
Feb 8, 2011·International Journal of Pediatric Otorhinolaryngology·Emily F BossStacey L Ishman
Aug 8, 2009·Pediatric Clinics of North America·David C Goodman
Dec 13, 2005·Health & Place·Liis Rooväli, Raul Allan Kiivet
Jun 6, 2000·The Journal of Pediatrics·P McCarthyR LaCamera
Jul 8, 2016·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Sarah D RonisNancy E Wood
Jun 3, 1999·Evaluation & the Health Professions·K M McConnochieG S Liptak
Aug 19, 2000·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·M SeidP S Kurtin
Aug 6, 2005·European Journal of Epidemiology·Nana ThraneHenrik Toft Sørensen
Apr 25, 2003·Acta Paediatrica·N DanielssonR Zetterström

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