The regionalization of pediatric health care

Scott A. Lorch, Sage Myers, Brendan Carr

Research output: Contribution to journalReview articlepeer-review

121 Scopus citations

Abstract

Regionalization of health care is a method of providing high-quality, cost-efficient health care to the largest number of patients. Within pediatric medicine, regionalization has been undertaken in 2 areas: neonatal intensive care and pediatric trauma care. The supporting literature for the regionalization of these areas demonstrates the range of studies within this field: studies of neonatal intensive care primarily compare different levels of hospitals, whereas studies of pediatric trauma care primarily compare the impact of institutionalizing a trauma system in a single geographic region. However, neither specialty has been completely regionalized, possibly because of methodologic deficiencies in the evidence base. Research with improved study designs, controlling for differences in illness severity between different hospitals; a systems approach to regionalization studies; and measurement of parental preferences will improve the understanding of the advantages and disadvantages of regionalizing pediatric medicine and will ultimately optimize the outcomes of children.

Original languageEnglish
Pages (from-to)1182-1190
Number of pages9
JournalPediatrics
Volume126
Issue number6
DOIs
StatePublished - Dec 2010
Externally publishedYes

Keywords

  • Health care systems
  • Neonatal intensive care
  • Pediatric trauma care
  • Regionalization of care

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