Kristia A Wantchekon, Adriana J Umaña-Taylor
Targeting ethnic-racial identity development and academic engagement in tandem through curriculum
Journal of school psychology
hospitals treating patients greater diagnosis diversity may higher fixed overhead costs assessed relationship hospitals diagnosis diversity cost per hospitalization children retrospective analysis 1 654 869 allcondition hospitalizations children ages 0 21 years 2816 hospitals kids inpatient database 2016 mean hospital cost per hospitalization winsorized logtransformed assessed freestanding childrens hospitals fchs nonfreestanding childrens hospitals nfchs nonchildrens hospitals nchs hospital diagnosis diversity index hddi calculated using dmeasure diversity shannonwiener entropy index 1254 diagnosis severityofillness groups distinguished 3m healths patient refined diagnosis related groups lognormal multivariable models derived regress hospital type cost per hospitalization adjusting hospitallevel hddi addition patientlevel demographic eg age race ethnicity clinical eg chronic conditions characteristics hospital teaching status admission counts 383 789 232 fchs 588 463 356 nfchs 682 617 412 nchs unadjusted mean cost per hospitalization 10 757 95 confidence interval ci 9451 12 243 fchs 6264 95 ci 5830 6729 nfchs 4192 95 ci 4121 4265 nchs hddi significantly p 001 higher fchs nfchs median 92 64 times higher respectively nchs across hospitals greater hddi associated p 002 increased cost adjusting hddi resulted nonsignificant p 1 difference cost across hospital types greater diagnosis diversity associated increased cost per hospitalization considered assessing associated costs inpatient care pediatric patients