Child characteristics and health conditions associated with paediatric hospitalisations and length of stay: a population-based study

Schneuer, Francisco J.; Demetriou, Eleni; Bond, Diana M; Lain, Samantha J.; Guastella, Adam J.; Nassar, Natasha

doi:10.1016/j.lanwpc.2023.100706

Cited by 8 publications

(4 citation statements)

References 30 publications

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“…A recent study of Australian paediatric admissions, noted that age, disadvantaged background and distance from hospital moderated LoS a key metric of direct hospitalisation costs. 7 Similar findings for the younger age group (0–4 years) representing nearly half of admissions were reported in a US study. 8 In contrast, a UK study did not find any sociodemographic association other than medical complexity on LoS.…”

Section: Introductionsupporting

confidence: 81%

See 1 more Smart Citation

Burden of paediatric hospitalisations to the health care system, child and family: a systematic review of Australian studies (1990–2022)

Demetriou,

Boulton,

Thapa

et al. 2023

The Lancet Regional Health - Western Pacific

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Section: Introductionsupporting

confidence: 81%

“…It is widely reported both on the Australian and international health systems 91 , 92 that improving primary access to health care leads to reduction of hospital admissions particularly for short-term stays. 7 …”

Section: Discussionmentioning

confidence: 99%

Burden of paediatric hospitalisations to the health care system, child and family: a systematic review of Australian studies (1990–2022)

Demetriou,

Boulton,

Thapa

et al. 2023

The Lancet Regional Health - Western Pacific

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“…The current study shows a clear trend for reduced hospitalizations of children from all ethnicities and environments over the last decade. This is in concert with other observations from the world and probably re ects improvement in medicine in the community [21,22]. Most pediatric hospitalizations are for short stays and require programs that target acute conditions that can be managed in primary care 21 .…”

Section: Hospitalizationssupporting

confidence: 53%

“…This is in concert with other observations from the world and probably re ects improvement in medicine in the community [21,22]. Most pediatric hospitalizations are for short stays and require programs that target acute conditions that can be managed in primary care 21 . Furthermore, hospitalization should be avoided whenever possible due to potential acquiring nosocomial diseases and economic reasons [22].…”

Section: Hospitalizationssupporting

confidence: 53%

Healthcare utilization disparities among children in Israel: big data analyses study

Ghanayem,

Sliman,

Schwartz

et al. 2023

Preprint

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Purpose This study aimed to investigate the differences in healthcare utilization in children in Israel over ten years. While examining the differences between various populations. Methods Data were obtained from the Clalit Health Care data warehouse, covering over 250,000 children residing in the Haifa and Western Galilee district. The population groups were categorized based on ethnicity (Jewish vs Arab) and residential settings (urban vs rural). Results Healthcare utilization was consistently higher among Jewish children than Arab children, irrespective of the specific dimension analyzed. Additionally, urban-dwelling children exhibited higher usage rates than those residing in rural areas in all investigated dimensions. However, Jewish children showed significantly lower hospitalization rates than Arab children across all years. No significant differences in hospitalizations were observed between urban and rural children. Notably, the study observed reduced antibiotic usage and hospitalizations over the years for all populations. Furthermore, Arab children and those living in rural environments face reduced accessibility to health care, as evidenced by fewer physician visits, laboratory and imaging tests. Conclusion This study highlights the substantial population-based disparities in healthcare utilization among children in Israel, despite the equalizing effect of the national health insurance law. Consequently, it is imperative to address these disparities and implement targeted interventions to enhance healthcare accessibility for Arab children and rural communities. The decline in antibiotic usage and hospitalizations suggests positive trends in pediatric health care, necessitating ongoing efforts to ensure equitable access and quality of care for all populations.

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Healthcare utilization is increased in children living in urban areas, with ethnicity-related disparities: A big data analysis study

Ghanayem,

Kasem Ali Sliman,

Schwartz

et al. 2024

Eur J Pediatr

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This study aimed to investigate the differences in healthcare utilization in children in Israel over ten years.While examining the differences between various populations. MethodsData were obtained from the Clalit Health Care data warehouse, covering over 250,000 children residing in the Haifa and Western Galilee district. The population groups were categorized based on ethnicity (Jewish vs Arab) and residential settings (urban vs rural). ResultsHealthcare utilization was consistently higher among Jewish children than Arab children, irrespective of the speci c dimension analyzed. Additionally, urban-dwelling children exhibited higher usage rates than those residing in rural areas in all investigated dimensions. However, Jewish children showed signi cantly lower hospitalization rates than Arab children across all years. No signi cant differences in hospitalizations were observed between urban and rural children.Notably, the study observed reduced antibiotic usage and hospitalizations over the years for all populations. Furthermore, Arab children and those living in rural environments face reduced accessibility to health care, as evidenced by fewer physician visits, laboratory and imaging tests. ConclusionThis study highlights the substantial population-based disparities in healthcare utilization among children in Israel, despite the equalizing effect of the national health insurance law. Consequently, it is imperative to address these disparities and implement targeted interventions to enhance healthcare accessibility for Arab children and rural communities. The decline in antibiotic usage and hospitalizations suggests positive trends in pediatric health care, necessitating ongoing efforts to ensure equitable access and quality of care for all populations.

show abstract

Child characteristics and health conditions associated with paediatric hospitalisations and length of stay: a population-based study

Cited by 8 publications

References 30 publications

Burden of paediatric hospitalisations to the health care system, child and family: a systematic review of Australian studies (1990–2022)

Burden of paediatric hospitalisations to the health care system, child and family: a systematic review of Australian studies (1990–2022)

Healthcare utilization disparities among children in Israel: big data analyses study

Healthcare utilization is increased in children living in urban areas, with ethnicity-related disparities: A big data analysis study

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