Trends in Low-Value Care Among Children’s Hospitals

• 2024

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• Samantha House; Jennifer Marin; Eric Coon; Shawn Ralston; Matthew Hall; Heidi Gruhler De Souza
PMID: 38130171DOI: https://doi.org/10.1542/peds.2023-062492

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About

This article (with video abstract) is about a study on low-value care (LVC) in children's hospitals. It describes how researchers used a Pediatric Health Information System Low-Value Care Calculator to track trends over seven years. The study looked at 29 different low-value services provided in these hospitals. Between 2016 and 2022, LVC improved for only a small number of services. Improvements were more common in therapeutic areas—like medications and procedures—compared to diagnostic ones, such as imaging and lab tests. These findings can help guide which services to target first for reducing unnecessary care.

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Tags

Focus Areas: Infectious Disease; Trauma

Audiences: Emergency Managers; Physicians

Emergency Management Stage: Preparedness (Prevention / Protection)

Keywords: Emergency Medicine; Health Services Research; Hospitals, Pediatric; Pediatrics; Quality of Health Care; Retrospective Studies; Pediatric Emergency Medicine; Low-Value Care

Institutions: Dartmouth College; Dartmouth Health Children's; University of Utah; University of Washington; Children's Hospital Association

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