ArticleThe Journal of pediatrics2026
Changes in Access to High Pediatric Readiness Emergency Care in the United States from 2013 to 2021.
Article in The Journal of pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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Who cites it
3 citing papers in PubMed.
- Variation in Emergency Department Experience With Pediatric Critical Illness.Annals of emergency medicine · 2026Article
- Geographic access to pediatric ECMO and ECPR: a geospatial study of transport networks and disparities.Resuscitation plus · 2026Article
- Outcomes and Regional Care Patterns of Critically Ill Pediatric Emergency Patients: A Population-Based Registry Study.Pediatrics international : official journal of the Japan Pediatric SocietyObservational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectiveTo assess changes in access to high readiness emergency departments (EDs) between the 2013 and 2021 editions of the National Pediatric Readiness Project (NPRP) assessments. STUDY
designWe performed a geospatial analysis of ED responses to the NPRP assessments, linked to national census data. We defined high pediatric readiness EDs as those scoring above the 75th percentile in the 2013 assessment. We defined timely access as living within a 30-minute drive of such an ED. We calculated the proportion of children with timely access nationally, by state, and by hospital referral region, and also assessed changes over time. Given the potential impacts of the COVID-19 pandemic on staffing, we conducted a secondary analysis that excluded staffing-related domains of readiness.
resultsBetween 2013 and 2021, the proportion of children with timely access to a high readiness ED decreased from 70.2% to 66.7%, representing 2.1 million fewer children. However, many states and regions experienced improvements in access exceeding 10 percentage points. When excluding domains of readiness related to staffing, access to EDs with high equipment- and process-related readiness increased from 75.8% to 79.5%.
conclusionsPediatric access to high readiness EDs modestly declined over time, but some areas saw meaningful improvements. Excluding staffing-related readiness, which may have been affected by the COVID-19 pandemic, an increase in access was observed. Future work should examine regions with improved access to identify strategies for further improving pediatric emergency care.
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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.