PEDIATRICS Vol. 97 No. 1 January 1996, pp. 14-17
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Does Surgical Subspecialization in Pediatrics Provide High-quality, Cost-effective Patient Care?

Brent W. Snow MD1, Patrick C. Cartwright MD1, and Mark D. Young 1

1 Primary Children's Medical Center and the Division of Urology, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT

Objective. To determine if pediatric surgical subspecialization provides cost-effective, high-quality pediatric patient care.

Methods. Ureteroneocystostomy inpatients over 4 years were studied. Hospital charges and complications were compared between general urologists and fellow-hip-trained pediatric urologists.

Results. Hospital charges were significantly less ($1095) for patients under the care of a pediatric urologist. Complication rates were also lower.

Conclusions. Pediatric urology subspecialization offers high-quality, cost-effective pediatric patient care.

Submitted on December 6, 1994
Accepted on February 28, 1995




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