Evidence map›Paper›PMID 34707791›Full record

ArticleCraniomaxillofacial trauma & reconstruction2021

The Impact of Payment Reform on Pediatric Craniofacial Fracture Care in Maryland.

Pooja S Yesantharao, Hillary E Jenny, Joseph Lopez, Jonlin Chen, Christopher D Lopez, Oluseyi Aliu, Richard J Redett, Robin Yang, Jordan P Steinberg

Erratum issuedAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Craniomaxillofacial trauma & reconstruction, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Pooja S YesantharaoAssistant Professor of Plastic and Reconstructive Surgery, Department of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID https://orcid.org/0000-0001-6643-0909
Hillary E JennyAssistant Professor of Plastic and Reconstructive Surgery, Department of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Joseph LopezAssistant Professor of Plastic and Reconstructive Surgery, Department of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jonlin ChenAssistant Professor of Plastic and Reconstructive Surgery, Department of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID https://orcid.org/0000-0001-6803-0933
Christopher D LopezAssistant Professor of Plastic and Reconstructive Surgery, Department of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Oluseyi AliuAssistant Professor of Plastic and Reconstructive Surgery, Department of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Richard J RedettAssistant Professor of Plastic and Reconstructive Surgery, Department of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Robin YangAssistant Professor of Plastic and Reconstructive Surgery, Department of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jordan P SteinbergAssistant Professor of Plastic and Reconstructive Surgery, Department of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective, quasi-experimental difference-in-differences investigation.

objectivePediatric craniofacial fractures are often associated with substantial morbidity and consumption of healthcare resources. Maryland's All Payer Model (APM) represents a unique case study of the health economics surrounding pediatric craniofacial fractures. The APM implemented global hospital budgets to disincentivize low-value care and encourage preventive, community-based efforts. The objective of this study was to investigate how this reform has impacted pediatric craniofacial fracture care in Maryland.

methodsChildren (≤18 years) receiving inpatient craniofacial fracture-related care in Maryland between January, 2009 through December, 2016 were investigated. New Jersey was used for comparison. Data were abstracted from the Kid's Inpatient Database (Healthcare Cost and Utilization Project).

resultsBetween 2009-2016, 3,655 pediatric patients received inpatient care for craniofacial fractures in Maryland and New Jersey. Prior to APM implementation, around 20% of Maryland patients received care outside of urban teaching hospitals. After APM implementation, less than 6% of patients received care outside of urban teaching hospitals (

conclusionsMaryland's APM consolidated pediatric craniofacial fracture inpatient care at urban, teaching hospitals. Inpatient costs and lengths of stay did not change after policy implementation, but overall admission rates decreased. Such considerations are important when considering national expansion of global hospital budgeting.

Indexed as

global budget revenueglobal hospital budgethealthcare reformpediatric craniofacial fracture

Identifiers

PMID34707791
PMCPMC8543597

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Registered trials

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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.