OBJECTIVE: Examine whether the quality of Black and Hispanic serving (BHS) compared with not BHS (NBHS) NICUs has changed differentially over time. STUDY DESIGN: Infants 24–29 weeks’ gestation born at U.S. Vermont Oxford Network centers (2006–2018) were studied. We calculated adjusted hospital quality scores as the predicted probabilities of composite in-hospital mortality and morbidities from a logistic model. We regressed hospital quality scores on birth year to estimate the linear temporal slope by BHS-serving status for hospitals within each Census division. RESULTS: Hospital quality improved similarly over time for BHS and NBHS hospitals across all divisions except West South Central where a mean change in the composite score was −18.8 (95% CI: −24.1, −13.5) for NBHS and −9.3 (95% CI: −14.1, −4.6) for BHS hospitals (p-value = 0.009). CONCLUSION: Hospital quality improved similarly for BHS and NBHS hospitals across most divisions. Variation within and between divisions should be a focus for quality improvement.

Changes in hospital quality at hospitals serving black and hispanic newborns below 30 weeks' gestation / Boghossian, Nansi S; Geraci, Marco; Edwards, Erika M; Horbar, Jeffrey D. - In: JOURNAL OF PERINATOLOGY. - ISSN 0743-8346. - (2021), pp. 1-8. [10.1038/s41372-021-01222-3]

Changes in hospital quality at hospitals serving black and hispanic newborns below 30 weeks' gestation

Geraci, Marco;
2021

Abstract

OBJECTIVE: Examine whether the quality of Black and Hispanic serving (BHS) compared with not BHS (NBHS) NICUs has changed differentially over time. STUDY DESIGN: Infants 24–29 weeks’ gestation born at U.S. Vermont Oxford Network centers (2006–2018) were studied. We calculated adjusted hospital quality scores as the predicted probabilities of composite in-hospital mortality and morbidities from a logistic model. We regressed hospital quality scores on birth year to estimate the linear temporal slope by BHS-serving status for hospitals within each Census division. RESULTS: Hospital quality improved similarly over time for BHS and NBHS hospitals across all divisions except West South Central where a mean change in the composite score was −18.8 (95% CI: −24.1, −13.5) for NBHS and −9.3 (95% CI: −14.1, −4.6) for BHS hospitals (p-value = 0.009). CONCLUSION: Hospital quality improved similarly for BHS and NBHS hospitals across most divisions. Variation within and between divisions should be a focus for quality improvement.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1576336
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