Cost of Hospitalization for Preterm and Low Birth Weight Infants in the United States

Russell, Rebecca; Green, Nancy; Steiner, Claudia; Meikle, Susan; Howse, Jennifer L.; Poschman, Karalee; Dias, Todd; Potetz, Lisa; Davidoff, Michael J.; Damus, Karla; Petrini, Joann

doi:10.1542/peds.2006-2386

Cited by 480 publications

(363 citation statements)

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“…10 In addition to the high initial NICU costs, 11,12 preterm infants have higher rates of acute care visits and re-hospitalizations in the first year of life, compared with term infants. 13 Structured post-NICU discharge follow-up care can substantially save net healthcare costs by safely facilitating earlier discharge from the NICU [14][15][16] and decreasing the incidence of lifethreatening illnesses and intensive care admissions in first year of life.…”

Section: Discussionmentioning

confidence: 99%

Current state of high-risk infant follow-up care in the United States: results of a national survey of academic follow-up programs

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Current state of high-risk infant follow-up care in the United States: results of a national survey of academic follow-up programs

et al. 2011

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Section: Introductionmentioning

confidence: 99%

“…Worldwide, hospitalizations account for nearly half of public spending in health 2 . Costs are related to the characteristics of the diseases that caused the hospitalization and the patient's age 2,3,4,5 . Diseases with high incidence can lead to the hospitalization of a high number of individuals, which entails higher costs 2,3,4 .…”

Section: Introductionmentioning

confidence: 99%

“…Costs are related to the characteristics of the diseases that caused the hospitalization and the patient's age 2,3,4,5 . Diseases with high incidence can lead to the hospitalization of a high number of individuals, which entails higher costs 2,3,4 . In addition, costs tend to be higher in extreme age groups, in rare diseases, and in diseases whose treatment requires highly specialized technology 2,3,4 .…”

Section: Introductionmentioning

confidence: 99%

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Características e fatores associados à hospitalização nos primeiros anos de vida: coorte de nascimentos de Pelotas de 2004, Rio Grande do Sul, Brasil

et al. 2017

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“…6 Overall, hospitalization rates of children with diagnoses in .1 CCC category almost doubled, from 83.7 per 100 000 in 1991-1993 to 166 per 100 000 in 2003-2005 (P , .001). 7 On a related issue, Medicaid was also the designated payer for 42% of preterm/low birth weight infant stays, 8 hospitalizations that often encompass highcost time in the NICU.…”

Section: Children's Hospitals Represent Significant Opportunities To mentioning

confidence: 99%

Roles for Children’s Hospitals in Pediatric Collaborative Improvement Networks

Miller

2013

Pediatrics

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Children’s hospitals represent a significant opportunity to reduce morbidity, mortality, and costs, particularly for children with complex chronic conditions (CCCs) who comprise a disproportionate and growing share of admissions, readmissions, and resource use. Most children with CCCs are in some way associated with a children’s hospital, and the subspecialists who care for them are primarily concentrated in the ∼200 children’s hospitals in the United States. Children’s hospitals and their associated subspecialty clinics are uniquely positioned to achieve significant outcomes and cost savings through coordinated quality-improvement efforts. However, even the largest children’s hospital has relatively small volumes of patients with any given condition. Only by linking children’s hospitals in networks can a sufficient “N” be achieved to build the evidence for what works for children. Large-scale pediatric collaborative network exemplars have demonstrated the ability to improve outcomes, reduce costs, and spread changes found to be effective. Substantial opportunities exist for networks to expand to additional conditions, improvement topics, and sites, but financial barriers exist. Although much of their participation has been funded as “pay to participate” efforts by the hospitals themselves, most financial benefits accrue to payers. As health care reform becomes a reality and financial pressures intensify, it will become increasingly difficult for children’s hospitals to serve as the primary source of support for networks. Partnerships between children’s hospitals and national payers to support collaborative networks are needed, and these partnerships have the potential to significantly improve pediatric care and outcomes, particularly for children with CCCs.

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Cost of Hospitalization for Preterm and Low Birth Weight Infants in the United States

Cited by 480 publications

References 31 publications

Current state of high-risk infant follow-up care in the United States: results of a national survey of academic follow-up programs

Current state of high-risk infant follow-up care in the United States: results of a national survey of academic follow-up programs

Características e fatores associados à hospitalização nos primeiros anos de vida: coorte de nascimentos de Pelotas de 2004, Rio Grande do Sul, Brasil

Roles for Children’s Hospitals in Pediatric Collaborative Improvement Networks

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