Predictors of hospital charges for children admitted with asthma.

OBJECTIVES: To examine patient and hospital characteristics associated with varying hospital charges for children admitted with asthma. METHODS: We conducted a retrospective cohort study of children (1-18 years old) hospitalized with asthma using data from the 2000 Kids' Inpatient Database (KID; n =...

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Published in:Ambulatory Pediatrics Vol. 6; no. 1; pp. 15 - 21
Main Authors: Gupta RS, Bewtra M, Prosser LA, Finkelstein JA
Format: research tables/charts Journal Article
Published: Elsevier B.V. Jan/Feb2006
Online Access:View this record in EBSCOhost
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      dt: Jan/Feb2006
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      pub: Elsevier B.V.
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        2009329412
        10.1016/j.ambp.2005.07.001
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        atl: Predictors of hospital charges for children admitted with asthma.
      aug:
        au:
          Gupta RS
          Bewtra M
          Prosser LA
          Finkelstein JA
        affil: Harvard Pediatric Health Services Research Fellowship, Children's Hospital Boston, Massachusetts, USA. r-gupta@northwestern.edu
      sug:
        subj:
          Asthma Therapy
          Health Facility Charges
          Hospitalization Economics
          Academic Medical Centers
          Adolescence
          Asthma Ethnology
          Child
          Child, Preschool
          Data Analysis Software
          Descriptive Statistics
          Female
          Funding Source
          Hospitals, Pediatric
          Infant
          Insurance, Health
          Male
          Population
          Prospective Studies
          Retrospective Design
          Human
          Adolescent: 13-18 years
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Infant: 1-23 months
          Female
          Male
      ab: OBJECTIVES: To examine patient and hospital characteristics associated with varying hospital charges for children admitted with asthma. METHODS: We conducted a retrospective cohort study of children (1-18 years old) hospitalized with asthma using data from the 2000 Kids' Inpatient Database (KID; n = 54,029). Predictors of interest included hospital type (teaching and children's hospitals) and patient characteristics (insurance type and race). RESULTS: After adjusting for patient and hospital characteristics, hospital charges were similar at teaching and nonteaching hospitals. Charges at children's hospitals were higher by 440 US dollars or 10% (95% CI, 352-528) compared with nonchildren's hospitals. Children with Medicaid had higher charges by 132 US dollars or 3% (95% CI, 57-264) compared to those with private insurance. Compared to White children, Black children had higher charges by 396 US dollars or 10% (95% CI, 352-484), Hispanic children by 924 US dollars or 21% (95% CI, 880-1,012), and Asian children by 572 US dollars or 13% (572 US dollars; 95% CI, 352-792). CONCLUSIONS: Important differences exist in the charges incurred by children with asthma based on patient and hospital characteristics. Efforts to understand the reasons behind the differences may help eliminate unnecessary variation in costs for asthma care.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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