ArticleHospital pediatrics2020
Identifying Modifiable Health Care Barriers to Improve Health Equity for Hospitalized Children.
Article in Hospital pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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.
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Who cites it
5 citing papers in PubMed.
- Pilot Evaluation of the Family Bridge Program: A Communication- and Culture-Focused Inpatient Patient Navigation Program.Academic pediatricsTrial
- Site-Specific Adaptation of an Inpatient Patient Navigator Program at 2 Children's Hospitals.Hospital pediatrics · 2025Article
- Barriers to and facilitators of a just-in-time adaptive intervention for respiratory illness in cerebral palsy: a qualitative study.BMJ open · 2023Article
- Factors that contribute to disparities in time to acute leukemia diagnosis in young people: an in depth qualitative interview study.BMC cancer · 2022Article
- Under-triage: A New Trigger to Drive Quality Improvement in the Emergency Department.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundChildren from socially disadvantaged families experience worse hospital outcomes compared with other children. We sought to identify modifiable barriers to care to target for intervention.
methodsWe conducted a prospective cohort study of hospitalized children over 15 months. Caregivers completed a survey within 3 days of admission and 2 to 8 weeks after discharge to assess 10 reported barriers to care related to their interactions within the health care system (eg, not feeling like they have sufficient skills to navigate the system and experiencing marginalization). Associations between barriers and outcomes (30-day readmissions and length of stay) were assessed by using multivariable regression. Barriers associated with worse outcomes were then tested for associations with a cumulative social disadvantage score based on 5 family sociodemographic characteristics (eg, low income).
resultsOf eligible families, 61% (
conclusionsSystem barriers, skill barriers, cultural distance, and marginalization were significantly associated with both worse hospital outcomes and social disadvantage, suggesting these are promising targets for intervention to decrease disparities for hospitalized children.
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