TY - JOUR
T1 - Quality, outcome, and cost of care provided to very low birth weight infants in California
AU - Lapcharoensap, Wannasiri
AU - Bennett, Mihoko
AU - Xu, Xiao
AU - Lee, Henry C.
AU - Profit, Jochen
AU - Dukhovny, Dmitry
N1 - Publisher Copyright:
© The Author(s), under exclusive licence to Springer Nature America, Inc. 2023.
PY - 2024/2
Y1 - 2024/2
N2 - Objective: To examine association of costs with quality of care and patient outcome across hospitals in California. Methods: Retrospective study of very low birth weight (VLBW) births from 2014–2018 linking birth certificate, hospital discharge records and clinical data. Quality was measured using the Baby-MONITOR score. Clinical outcome was measured using survival without major morbidity (SWMM). Hierarchical generalized linear models, adjusting for clinical factors, were used to estimate risk-adjusted measures of costs, quality, and outcome for each hospital. Association between these measures was evaluated using Pearson correlation coefficient. Results: In total, 15,415 infants from 104 NICUs were included. Risk-adjusted Baby-MONITOR score, SWMM rate, and costs varied substantially. There was no correlation between risk-adjusted cost and Baby-MONITOR score (r = 0, p = 0.998). Correlation between risk-adjusted cost and SWMM rate was inverse and not significant (r = −0.07, p = 0.48). Conclusions: With the metrics used, we found no correlation between cost, quality, and outcomes in the care of VLBW infants.
AB - Objective: To examine association of costs with quality of care and patient outcome across hospitals in California. Methods: Retrospective study of very low birth weight (VLBW) births from 2014–2018 linking birth certificate, hospital discharge records and clinical data. Quality was measured using the Baby-MONITOR score. Clinical outcome was measured using survival without major morbidity (SWMM). Hierarchical generalized linear models, adjusting for clinical factors, were used to estimate risk-adjusted measures of costs, quality, and outcome for each hospital. Association between these measures was evaluated using Pearson correlation coefficient. Results: In total, 15,415 infants from 104 NICUs were included. Risk-adjusted Baby-MONITOR score, SWMM rate, and costs varied substantially. There was no correlation between risk-adjusted cost and Baby-MONITOR score (r = 0, p = 0.998). Correlation between risk-adjusted cost and SWMM rate was inverse and not significant (r = −0.07, p = 0.48). Conclusions: With the metrics used, we found no correlation between cost, quality, and outcomes in the care of VLBW infants.
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U2 - 10.1038/s41372-023-01792-4
DO - 10.1038/s41372-023-01792-4
M3 - Article
C2 - 37805592
AN - SCOPUS:85173740007
SN - 0743-8346
VL - 44
SP - 224
EP - 230
JO - Journal of Perinatology
JF - Journal of Perinatology
IS - 2
ER -