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Multilevel social factors and NICU quality of care in California.
Padula, Amy M; Shariff-Marco, Salma; Yang, Juan; Jain, Jennifer; Liu, Jessica; Conroy, Shannon M; Carmichael, Suzan L; Gomez, Scarlett L; Phibbs, Ciaran; Oehlert, John; Gould, Jeffrey B; Profit, Jochen.
Afiliación
  • Padula AM; Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, CA, USA. Amy.Padula@ucsf.edu.
  • Shariff-Marco S; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA.
  • Yang J; Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, San Francisco, CA, USA.
  • Jain J; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA.
  • Liu J; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA.
  • Conroy SM; Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA.
  • Carmichael SL; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA.
  • Gomez SL; Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, San Francisco, CA, USA.
  • Phibbs C; Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA.
  • Oehlert J; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA.
  • Gould JB; Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, San Francisco, CA, USA.
  • Profit J; Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA.
J Perinatol ; 41(3): 404-412, 2021 03.
Article en En | MEDLINE | ID: mdl-32157221
OBJECTIVE: Our objective was to incorporate social and built environment factors into a compendium of multilevel factors among a cohort of very low birth weight infants to understand their contributions to inequities in NICU quality of care and support providers and NICUs in addressing these inequities via development of a health equity dashboard. STUDY DESIGN: We examined bivariate associations between NICU patient pool and NICU catchment area characteristics and NICU quality of care with data from a cohort of 15,901 infants from 119 NICUs in California, born 2008-2011. RESULT: NICUs with higher proportion of minority racial/ethnic patients and lower SES patients had lower quality scores. NICUs with catchment areas of lower SES, higher composition of minority residents, and more household crowding had lower quality scores. CONCLUSION: Multilevel social factors impact quality of care in the NICU. Their incorporation into a health equity dashboard can inform providers of their patients' potential resource needs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Unidades de Cuidado Intensivo Neonatal / Aglomeración Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Aspecto: Equity_inequality Límite: Humans / Infant / Newborn País/Región como asunto: America do norte Idioma: En Revista: J Perinatol Asunto de la revista: PERINATOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Unidades de Cuidado Intensivo Neonatal / Aglomeración Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Aspecto: Equity_inequality Límite: Humans / Infant / Newborn País/Región como asunto: America do norte Idioma: En Revista: J Perinatol Asunto de la revista: PERINATOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos