Articles: hospitals.
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Review Comparative Study
Comparison of pediatric hospitalization using the pediatric appropriateness evaluation protocol at three diverse hospitals in Louisiana.
The purpose of this study was to compare the number of inappropriate pediatric admissions and hospital days in three hospitals in Louisiana using Pediatric Appropriateness Evaluation Protocol (PAEP) criteria. The hospitals studied included an urban, nontertiary care, teaching hospital with 20 inpatient, pediatric beds (A); a private, tertiary care hospital with 30 beds (B); and a tertiary care, regional referral center with 133 pediatric beds (C). The study prospectively observed all nonintensive care pediatric admissions (> six months of age) between May 1 and June 30, 1993. ⋯ Hospital A had 99% of patients with either Medicaid or uninsured payor status compared to 35% and 84% at hospital B and C, respectively. Significant differences in the rate of inappropriate admission or subsequent hospital days were demonstrated in the three hospitals studied. Finally, the rates of inappropriate hospitalization demonstrated in this study of Louisiana hospitals were similar to previous studies using the PAEP in other regions.
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Pediatr Hematol Oncol · May 1997
ReviewAcademic pediatrics in the Emma Children's Hospital, Academic Medical Center in Amsterdam (The Netherlands).
In 1988 the Emma Children's Hospital and the department of pediatrics of the Academic Medical Center in Amsterdam (The Netherlands) merged. With the integration of the Emma Children's Hospital and the academic pediatric department, an academic children's hospital (ECH/ AMC) was established with all pediatric subspecialties including oncology, pediatric hematology/ hemostasis, and immunology. The research is organized in special research institutes. ⋯ Considerable effort is given to the care of patients with hemophilia and congenital clotting disorders. One of the special fields in immunology is the care for children infected with human immunodeficiency virus (HIV). The Emma Children's Hospital AMC participates in national and international programs for human immunodeficiency virus and AIDS research and immunological diseases, especially chronic granulomatous disease, in which an internationally appreciated know-how has been built up.