A National Analysis of General Pediatric Inpatient Unit Closures and Openings, 2011-2018.

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  • Additional Information
    • Source:
      Publisher: American Academy of Pediatrics Country of Publication: United States NLM ID: 101585349 Publication Model: Print Cited Medium: Internet ISSN: 2154-1671 (Electronic) Linking ISSN: 21541671 NLM ISO Abbreviation: Hosp Pediatr Subsets: MEDLINE
    • Publication Information:
      Publication: July 2011- : Elk Grove Village : American Academy of Pediatrics
      Original Publication: Elk Grove Village, IL : American Academy of Pediatrics/Section on Hospital Medicine
    • Subject Terms:
      Health Facility Closure*/statistics & numerical data ; Hospitals, Pediatric*; Humans ; United States ; Child ; Hospital Units ; Ownership/statistics & numerical data
    • Abstract:
      Objectives: This paper provides an examination of: (1) the frequency and net rates of change for general pediatric inpatient (GPI) unit closures and openings nationally and by state; (2) how often closures or openings are caused by GPI unit changes only or caused by hospital-level changes; and (3) the relationship between hospital financial status and system ownership and GPI unit closures or openings.
      Methods: This study used the Health Systems and Providers Database (2011-2018) plus 3 data sources on hospital closures. We enumerated GPI unit closures and openings to calculate net rates of change. Multinomial logistic regressions analyzed associations between financial distress, system ownership, and the likelihood of closing or opening a GPI unit, adjusting for hospital characteristics.
      Results: Across the study period, more GPI units closed th opened for a net closure rate of 2.0% (15.7% [638 of 4069] closures minus 13.7% [558 of 4069] openings). When GPI units closed, 89.0% (568 of 638) did so in a hospital that remained operating. Hospitals with the most financial distress were not more likely to close a GPI unit than those not (odds ratio: 1.01 [95% confidence interval: 0.68-1.50]), but hospitals owned by systems were significantly less likely to close a GPI unit than those not (odds ratio: 0.66 [95% confidence interval: 0.47-0.91]).
      Conclusions: Overall, more GPI units closed than opened, and closures mostly involved hospitals that otherwise remained operational. A hospital's overall financial distress was not associated with GPI unit closures, whereas being owned by a system was associated with fewer closures.
      (Copyright © 2024 by the American Academy of Pediatrics.)
    • Publication Date:
      Date Created: 20241002 Date Completed: 20241031 Latest Revision: 20241031
    • Publication Date:
      20241101
    • Accession Number:
      10.1542/hpeds.2024-007754
    • Accession Number:
      39354895