Advertising Disclaimer
PEDIATRICS Vol. 99 No. 2 February 1997, pp. 175-179 (doi:10.1542/peds.99.2.175)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Wall, T. C.
Right arrow Articles by Johnson, V. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Wall, T. C.
Right arrow Articles by Johnson, V. A.
Related Collections
Right arrow Office Practice
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

PEDIATRICS Vol. 99 No. 2 February 1997, pp. 175-179

Comparison of Inpatient Charges Between Academic and Nonacademic Services in a Children's Hospital

Received Jan 22, 1996; accepted Apr 26, 1996.

Terry C. Wall*, Crayton A. Fargason Jr*, and Victoria A. JohnsonDagger

From the * Division of General Pediatrics, Department of Pediatrics and Dagger  Health Care Organization and Policy, School of Public Health, the University of Alabama at Birmingham, Birmingham, Alabama.

Objective.  To compare inpatient hospital charges generated within a children's hospital by academic and nonacademic pediatric services for common medical diagnoses.

Methods.  Hospital admissions to a free-standing children's hospital between 9/1/90 and 8/30/94 were selected for patients who were hospitalized 1 to 14 days, with one of six selected diagnoses, and with discharge attending of record either a private pediatrician or an academic subspecialist. Discharge diagnoses, based on ICD-9 codes, included asthma (n = 1983), bronchiolitis (n = 692), gastroenteritis (n = 733), rule out sepsis (n = 1065), urinary tract infection (n = 516), and viral meningitis (n = 288). Charges associated with patient records were dichotomized as above or below the median charge for each diagnostic category. Each category was analyzed separately using a logistic regression model where the dichotomous-dependent variable was charges above the median charge for each diagnosis. Independent variables included physician type, payor status, patient residence, ICD-9 code as primary or secondary diagnosis, patient age, and presence of complicating conditions.

Results.  By univariate comparison, academic physicians cared for a higher percentage of underinsured patients, and their care was more expensive. Complicated claims were associated with higher charges than uncomplicated claims for all diagnostic categories. Academic and nonacademic physicians were equally likely to generate above-median charges for five of the six diagnostic categories when controlling for confounding factors. A linear regression model in which charge was the dependent variable generated similar results.

Conclusions.  Within the same pediatric health care facility, no consistent difference was found between charges incurred on academic vs private inpatient services.

Key words: logistic models, hospitals---teaching, hospitals---pediatric, medical staff, hospital.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 Arch Pediatr Adolesc MedHome page
Z. J. Huang, B. J. LaFleur, J. M. Chamberlain, M. F. Guagliardo, and J. G. Joseph
Inpatient Childhood Asthma Treatment: Relationship of Hospital Characteristics to Length of Stay and Cost: Analyses of New York State Discharge Data, 1995
Arch Pediatr Adolesc Med, January 1, 2002; 156(1): 67 - 72.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
M. D. Jones Jr., T. Boat, R. Adler, H. R. Gephart, L. M. Osborn, H. J. Mulvey, E. R. Alden, J. L. Simon, and R. W. Chesney
Final Report of the FOPE II Financing of Pediatric Education Workgroup
Pediatrics, November 1, 2000; 106(5): 1256e - 1256.
[Abstract] [Full Text]

Home page
 PediatricsHome page
B. N. Samuels, A. H. Novack, D. P. Martin, and F. A. Connell
Comparison of Length of Stay for Asthma by Hospital Type
Pediatrics, April 1, 1998; 101 (4): e13 - e13.
[Abstract] [Full Text] [PDF]