Quality, outcome, and cost of care provided to very low birth weight infants in California.
J Perinatol
; 44(2): 224-230, 2024 Feb.
Article
em En
| MEDLINE
| ID: mdl-37805592
ABSTRACT
OBJECTIVE:
To examine association of costs with quality of care and patient outcome across hospitals in California.METHODS:
Retrospective study of very low birth weight (VLBW) births from 2014-2018 linking birth certificate, hospital discharge records and clinical data. Quality was measured using the Baby-MONITOR score. Clinical outcome was measured using survival without major morbidity (SWMM). Hierarchical generalized linear models, adjusting for clinical factors, were used to estimate risk-adjusted measures of costs, quality, and outcome for each hospital. Association between these measures was evaluated using Pearson correlation coefficient.RESULTS:
In total, 15,415 infants from 104 NICUs were included. Risk-adjusted Baby-MONITOR score, SWMM rate, and costs varied substantially. There was no correlation between risk-adjusted cost and Baby-MONITOR score (r = 0, p = 0.998). Correlation between risk-adjusted cost and SWMM rate was inverse and not significant (r = -0.07, p = 0.48).CONCLUSIONS:
With the metrics used, we found no correlation between cost, quality, and outcomes in the care of VLBW infants.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Unidades de Terapia Intensiva Neonatal
/
Recém-Nascido de muito Baixo Peso
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article