ArticleHealth affairs (Project Hope)2018
Pervasive Income-Based Disparities In Inpatient Bed-Day Rates Across Conditions And Subspecialties.
Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Application of Spatial Analysis on Electronic Health Records to Characterize Patient Phenotypes: Systematic Review.JMIR medical informatics · 2024Pooled it
- Socioeconomic Deprivation in Adolescents Hospitalized with Anorexia Nervosa and Atypical Anorexia Nervosa.Children (Basel, Switzerland) · 2026Article
- Material economic hardships are associated with second-year hospitalizations after pediatric liver transplantation: Results from the SOCIAL-Tx study.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2026Article
- Evaluating Linkage Approaches for Address-Level Socioenvironmental Exposure Assessment.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2026Article
- Precision risk assessment for pediatric hospitalization using address-level data in Cincinnati, Ohio.Journal of clinical and translational science · 2026Article
- Association Between the Child Opportunity Index and Individual Level Social Risks.Journal of pediatrics. Clinical practice · 2025Article
- Material economic hardships are associated with adverse 1-year outcomes after pediatric liver transplantation: Prospective cohort results from the multicenter SOCIAL-Tx Study.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2025Observational
- Seeking Optimal, Integrated Pediatric Medical and Social Care: A Qualitative, Peer Researcher-Driven Study.Academic pediatrics · 2025Article
- Article
- Implementing Inpatient Social Needs Screening in an Urban Tertiary Care Children's Hospital.Hospital pediatrics · 2024Article
- Article
- The GROWBABY Research Network: A Framework for Advancing Health Equity Through Community Engaged Practice-Based Research.Maternal and child health journal · 2023Article
- Association of Primary Care Shortage Areas with Adverse Outcomes after Pediatric Liver Transplant.The Journal of pediatrics · 2022Observational
- How Does Pediatric Quality Measure Development Reflect the Real World Needs of Hospitalized Children?Academic pediatrics · 2022Article
- Clinical Stakeholder Perspectives on Pediatric Inpatient Screening for Social Needs.Academic pediatrics · 2022Article
- Care Quality, Patient Safety, and Nurse Outcomes at Hospitals Serving Economically Disadvantaged Patients: A Case for Investment in Nursing.Policy, politics & nursing practice · 2022Article
- Understanding Pediatric Surgery Cancellation: Geospatial Analysis.Journal of medical Internet research · 2021Article
- Seven practices for pursuing equity through learning health systems: Notes from the field.Learning health systems · 2021Article
- Neighborhood socioeconomic deprivation, racial segregation, and organ donation across 5 states.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021Article
- Women's Experiences of the Effect of Financial Strain on Parenting and Mental Health.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
Building a culture of health in hospitals means more than participating in community partnerships. It also requires an enhanced capacity to recognize and respond to disparities in utilization patterns across populations. We identified all pediatric hospitalizations at Cincinnati Children's Hospital Medical Center, in the period 2011-16. Each hospitalized child's address was geocoded, allowing us to calculate inpatient bed-day rates for each census tract in Hamilton County, Ohio, across all causes and for specific conditions and pediatric subspecialties. We then divided the census tracts into quintiles based on their underlying rates of child poverty and calculated bed-day rates per quintile. Poorer communities disproportionately bore the burden of pediatric hospital days. If children from all of the county's census tracts spent the same amount of time in the hospital each year as those from the most affluent tracts, approximately twenty-two child-years of hospitalization time would be prevented. Of particular note were "hot spots" in high-poverty census tracts neighboring the hospital, where bed-day rates were more than double the county average. Hospitals that address disparities would benefit from a more comprehensive understanding of the culture of health-a culture that is more cohesive inside the hospital and builds bridges into the community.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.