Melissa Ray, Crystal Kanderis Lane, Ellen J Rogo
Experiences of Dental Hygienists Providing Restorative Care
Journal of dental hygiene : JDH
centralization specialist services including cleft service delivery occurring worldwide aim improving outcomes study examines relationship hospital surgical volume cleft palate repair outcomes retrospective analysis kids inpatient database undertaken children 3 years younger undergoing cleft palate repair 2012 identified hospital volume categorized cases per year low volume lv 014 intermediate volume iv 1546 high volume hv 4799 differences complications hospital costs length stay los determined hospital volume data 2389 children retrieved 249 n 595 lv 501 n 1196 iv 250 n 596 hv highvolume centers frequently located west 719 compared lv 199 iv 245 centers p 0001 hospital region median household income commonly highest quartile hv centers compared iv lv centers 323 vs 217 vs 181 p 0001 difference complications different volume centers p 074 compared hv centers significant decrease mean costs lv centers 9682 vs 378 p 0001 significant difference cost iv centers 9260 vs 9682 p 0103 iv lv centers significantly greater los compared hv centers 197 vs 210 vs 174 p 0001 despite improvement los hv centers find reduction cost hv centers research needed analysis outpatient longterm outcomes ensure widespread costefficiency