Document Type

Honors Capstone Project

Date of Submission

Spring 5-1-2006

Capstone Advisor

Mary Lovely

Honors Reader

Thomas Kniesner

Capstone Major

Economics

Capstone College

Management

Audio/Visual Component

no

Capstone Prize Winner

no

Won Capstone Funding

no

Honors Categories

Social Sciences

Subject Categories

Economic History | Economics | Economic Theory | Health Economics

Abstract

Objective: To compare mortality rates at children’s hospitals and non-children’s hospitals.

Data Source: I used the Healthcare Cost and Utilization Project Kids’ Inpatient Database (KID) released by the Agency for Healthcare Research and Quality in 2003. Thirty-six states participated in the HCUP in 2003, which included 3,438 hospitals, and 2,984,129 pediatric discharges.

Study Design: I hypothesized that mortality rates at children’s hospitals would be lower than mortality rates at non-children’s hospital because children’s hospitals have more specialized inputs, from the clinical training of sub-specialists and nurses to advanced machines and diagnostic tools, and may use these inputs more productively. To test this hypothesis, I analyzed mortality for seven diagnoses using a logistic regression model. To control for selection bias, I selected diagnoses that were likely to occur at both children’s hospitals and non-children’s hospitals and controlled for risk of mortality and severity of illness.

I found that mortality rates at children’s hospitals were lower, but these lower rates were not statistically significant. Risk of mortality and severity of illness were highly significant in the model. These findings suggest that hospital type does not make a difference in determining medical outcome, but do not diminish the value of children’s hospitals because they are important assets in their communities.

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

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