Variations in costs for the care of low-birth-weight infants among academic hospitals.

Abstract:

OBJECTIVES:To determine the relative role that academic hospitals (AHs) play in providing neonatal care for low-birth-weight infants within a single state and to determine if there are variations in inpatient costs for neonatal services among AHs. DESIGN:Retrospective analysis of hospital costs for low-birth-weight infants. SETTING:Cases were identified using 2003-2005 data from the Tennessee Hospital Discharge Data System. A specific focus was discharge data from the 5 AHs that support obstetrical residencies and have a neonatal intensive care unit. PARTICIPANTS:Cases included all discharged infants with a birth weight of <2500 grams. RESULTS:The 5 AHs discharged 18% of the total normal-birth-weight infants and 30% of the low-birth-weight infants for the entire state. AHs had higher costs associated with these infants than did other hospitals, with a single exception The difference in costs at this hospital was consistent with the finding of lower utilization rates of hospital services, a shorter average length of stay, and lower costs for infants insured by the state Medicaid program. CONCLUSION:Academic obstetrical hospitals discharged a disproportionately high percentage of low-birth-weight infants compared with other Tennessee hospitals. The lower costs observed in the Shelby County hospital indicates that other hospitals could potentially lower their costs for the care of low-birth-weight infants.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Herrod HG,Chang CF,Steinberg SS

doi

10.1177/0009922809341750

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

443-9

issue

5

eissn

0009-9228

issn

1938-2707

pii

0009922809341750

journal_volume

49

pub_type

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