作者
Jessica L Bettenhausen, Jeffrey D Colvin, Jay G Berry, Henry T Puls, Jessica L Markham, Laura M Plencner, Molly K Krager, Matthew B Johnson, Mary Ann Queen, Jacqueline M Walker, Grant M Latta, Robert R Riss, Matt Hall
发表日期
2017/6/1
期刊
JAMA pediatrics
卷号
171
期号
6
页码范围
e170322-e170322
出版商
American Medical Association
简介
Importance
The level of income inequality (ie, the variation in median household income among households within a geographic area), in addition to family-level income, is associated with worsened health outcomes in children.
Objective
To determine the influence of income inequality on pediatric hospitalization rates for ambulatory care–sensitive conditions (ACSCs) and whether income inequality affects use of resources per hospitalization for ACSCs.
Design, Setting, and Participants
This retrospective, cross-sectional analysis used the 2014 State Inpatient Databases of the Healthcare Cost and Utilization Project of 14 states to evaluate all hospital discharges for patients aged 0 to 17 years (hereafter referred to as children) from January 1 through December 31, 2014.
Exposures
Using the 2014 American Community Survey (US Census), income inequality (Gini index; range, 0 [perfect equality] to 1.00 [perfect …
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