| Title | Quality, outcome, and cost of care provided to very low birth weight infants in California. |
| Publication Type | Journal Article |
| Year of Publication | 2024 |
| Authors | Lapcharoensap W, Bennett M, Xu X, Lee HC, Profit J, Dukhovny D |
| Journal | J Perinatol |
| Volume | 44 |
| Issue | 2 |
| Pagination | 224-230 |
| Date Published | 2024 Feb |
| ISSN | 1476-5543 |
| Keywords | Birth Weight, California, Humans, Infant, Infant, Newborn, Infant, Very Low Birth Weight, Intensive Care Units, Neonatal, Retrospective Studies, Risk Factors |
| 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. |
| URL | https://pubmed.ncbi.nlm.nih.gov/37805592/ |
| DOI | 10.1038/s41372-023-01792-4 |
| Alternate Journal | J Perinatol |
| PubMed ID | 37805592 |
| PubMed Central ID | 1752207 |
| Grant List | R01 HD087425 / HD / NICHD NIH HHS / United States R01 HD087425 / HD / NICHD NIH HHS / United States |
