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Multilevel social factors and NICU quality of care in California
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 inequit...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group US
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7483231/ https://www.ncbi.nlm.nih.gov/pubmed/32157221 http://dx.doi.org/10.1038/s41372-020-0647-8 |
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author | 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 |
author_facet | 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 |
author_sort | Padula, Amy M. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7483231 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Nature Publishing Group US |
record_format | MEDLINE/PubMed |
spelling | pubmed-74832312021-03-13 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 J Perinatol Article 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. Nature Publishing Group US 2020-03-10 2021 /pmc/articles/PMC7483231/ /pubmed/32157221 http://dx.doi.org/10.1038/s41372-020-0647-8 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Article 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 Multilevel social factors and NICU quality of care in California |
title | Multilevel social factors and NICU quality of care in California |
title_full | Multilevel social factors and NICU quality of care in California |
title_fullStr | Multilevel social factors and NICU quality of care in California |
title_full_unstemmed | Multilevel social factors and NICU quality of care in California |
title_short | Multilevel social factors and NICU quality of care in California |
title_sort | multilevel social factors and nicu quality of care in california |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7483231/ https://www.ncbi.nlm.nih.gov/pubmed/32157221 http://dx.doi.org/10.1038/s41372-020-0647-8 |
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