"Where have all the children gone"? Inpatient pediatric care in Connecticut.
Admission of children to hospitals in Connecticut dropped precipitously from 1981 to 1991. Regionalization of pediatric inpatient care is happening without plan. Connecticut data show a change in case-mix of pediatric cases, especially in surgical services and child mental illness categories. Planning for pediatric inpatient services should include considerations of case-mix, cost, and especially, quality of care in general hospital pediatric units with very low volume.
Department of Epidemiology and Public Health, School of Nursing, Yale University.
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D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003237:Connecticut; D003953:Diagnosis-Related Groups / Q000639:trends; D005260:Female; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D008297:Male; D010343:Patient Admission / Q000639:trends*; D010351:Patient Discharge / Q000639:trends