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Income Inequality Linked to Unnecessary Hospitalization

JAMA Pediatr; ePub 2017 Apr 3; Bettenhausen, et al

Children from poorer families are more likely to be hospitalized for conditions that could have been cared for in an ambulatory setting, according to a cross-sectional analysis of over 79,000 hospitalizations.

  • Hospitalization rates for ambulatory care sensitive conditions increased significantly as income inequality increased.
  • Researchers also found a significant difference in hospital length of stay (LOS) among poorer children, although they concluded that the increased LOS was not clinically important.
  • The analysis was based on data from the 2014 State Inpatient Databases of the Healthcare Cost and Utilization Project.

Citation:

Bettenhausen JL, Colvin JD, Berry JG, et al. Association of income inequality with pediatric hospitalizations for ambulatory care–sensitive conditions. [Published online ahead of print April 3, 2017]. JAMA Pediatr. doi:10.1001/jamapediatrics.2017.0322.