{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T20:00:24Z","timestamp":1760644824366,"version":"3.40.5"},"reference-count":20,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2003,5,1]]},"abstract":"<jats:p>Background.Little published information is available regarding the proportion of hospitals that offer pediatric services at specified levels, or the actual utilization of such services.<\/jats:p><jats:p>Objective.To determine if an existing national accreditation process created for educational purposes identifies hospitals with a distinct utilization pattern, in a sample of pediatric inpatient activity from one state.<\/jats:p><jats:p>Methods.Hospitals in New York State were classified as \u201cpediatric\u201d hospitals according to their sponsorship or major participation with an accredited pediatric residence program. Institutions not affiliated with pediatric residencies were considered to be the \u201cother\u201d hospitals. Data on hospital discharges and interhospital transfers were studied for children from 0 to 14 years old, excluding neonatal Diagnosis-Related Groups. Data were obtained from the New York Statewide Planning and Research Cooperative System for 1996, 1997, and 2000.<\/jats:p><jats:p>Results.Sixteen percent of hospitals were considered to be \u201cpediatric\u201d facilities (42 of 257) by study criteria. Annual pediatric inpatient activity per \u201cpediatric\u201d hospital significantly exceeded that in \u201cother\u201d institutions, including hospitalizations (2249 \u00b1 1284 vs 258 \u00b1 348), number of interhospital transfers received (153 \u00b1 88 vs 18 \u00b1 26), and number of hospitals referring interhospital transfers to each receiving hospital (36 \u00b1 17 vs 5 \u00b1 7; mean \u00b1 standard deviation; for each comparison). Statewide, \u201cpediatric\u201d hospitals served two thirds of all hospitalized children and 70% of all children\u2019s hospital days. \u201cPediatric\u201d hospitals cared for 26.5 patients per hospital day, compared with only 2.2 per day at \u201cother\u201d institutions. Although statewide hospitalizations of children fell by 14.3% the proportion of all pediatric hospitalizations served by \u201cpediatric\u201d hospitals increased by 3.8% from 1996 to 2000.<\/jats:p><jats:p>Conclusions.Although intended for educational purposes, hospital affiliation with an accredited pediatric residency program identifies a subgroup of facilities with a distinct utilization pattern, which provides care for the majority of pediatric inpatients, and serves as a resource to other hospitals.<\/jats:p>","DOI":"10.1542\/peds.111.5.1068","type":"journal-article","created":{"date-parts":[[2004,8,14]],"date-time":"2004-08-14T00:43:47Z","timestamp":1092444227000},"page":"1068-1071","source":"Crossref","is-referenced-by-count":6,"title":["Utilization of Pediatric Hospitals in New York State"],"prefix":"10.1542","volume":"111","author":[{"given":"Robert K.","family":"Kanter","sequence":"first","affiliation":[{"name":"Department of Pediatrics"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Egan","sequence":"additional","affiliation":[{"name":"College of Medicine, Upstate Medical University, State University of New York, Syracuse, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2003,5,1]]},"reference":[{"key":"2021121003363915200_R1","doi-asserted-by":"crossref","unstructured":"American Academy of Pediatrics, Committee on Pediatric Emergency Medicine; American College of Critical Care Medicine, Society of Critical Care Medicine, Pediatric Section. 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