|Title||Multilevel social factors and NICU quality of care in California.|
|Publication Type||Journal Article|
|Year of Publication||2021|
|Authors||Padula AM, Shariff-Marco S, Yang J, Jain J, Liu J, Conroy SM, Carmichael SL, Gomez SL, Phibbs C, Oehlert J, Gould JB, Profit J|
|Date Published||2021 Mar|
OBJECTIVE: Our objective was to incorporate social and built environment factors into a compendium of multilevel factors among a cohort of very low birth weight infants to understand their contributions to inequities in NICU quality of care and support providers and NICUs in addressing these inequities via development of a health equity dashboard.
STUDY DESIGN: We examined bivariate associations between NICU patient pool and NICU catchment area characteristics and NICU quality of care with data from a cohort of 15,901 infants from 119 NICUs in California, born 2008-2011.
RESULT: NICUs with higher proportion of minority racial/ethnic patients and lower SES patients had lower quality scores. NICUs with catchment areas of lower SES, higher composition of minority residents, and more household crowding had lower quality scores.
CONCLUSION: Multilevel social factors impact quality of care in the NICU. Their incorporation into a health equity dashboard can inform providers of their patients' potential resource needs.
|Alternate Journal||J Perinatol|
|PubMed Central ID||PMC7483231|
|Grant List||R01 HD083368 / HD / NICHD NIH HHS / United States |
R01 HD084667 / HD / NICHD NIH HHS / United States
R01HD083368 / / U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) /
R01HD084667 / / U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) /