Communities with and without Children's Hospitals: Where Do the Sickest Children Receive Care?

The author's purpose in this study was to examine whether children's hospitals treat more resource-intense children within their communities than do general acute-care hospitals in the same communities, and then to examine which general acute-care hospitals in communities without children&...

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Bibliographic Details
Published in:Hospital topics 2006-07, Vol.84 (3), p.19-28
Main Author: Dellifraine, Jami L.
Format: Article
Language:English
Subjects:
Adolescent
Asthma
Bone surgery
Cancer therapies
Catchment Area (Health)
Child
Child, Preschool
children
Children & youth
children's hospitals
Chronic illnesses
Costs
Critical Illness
Databases as Topic
Good samaritans
Health administration
Health Services Accessibility
Health Services Needs and Demand
Hospitals
Hospitals, General - supply & distribution
Hospitals, General - utilization
Hospitals, Pediatric - supply & distribution
Hospitals, Pediatric - utilization
Humans
Intensive care
Length of stay
Medical treatment
Patients
Pediatrics
Residence Characteristics
resource consumption
resource intensity
Transplants & implants
Trauma centers
United States
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Summary:The author's purpose in this study was to examine whether children's hospitals treat more resource-intense children within their communities than do general acute-care hospitals in the same communities, and then to examine which general acute-care hospitals in communities without children's hospitals fill the role of caring for very sick children. In large communities without children's hospitals, at least one general hospital is likely to treat resource-intense children. Healthcare managers in community hospitals need to be prepared to meet the healthcare needs of resource-intense children, which includes having the appropriate specialized staff and technology to care for the sickest children.
ISSN:0018-5868
1939-9278
DOI:10.3200/HTPS.84.3.19-28