Justyn Jaworski, Michael Cho
Implementation of an Experiential Service-Learning Course in Biomedical Engineering Design for Undergraduate Students
Biomedical engineering education
hospitals increasingly focused demonstration highvalue care common surgical procedures although sociodemographic status sds factors tied various surgical outcomes impact sds factors hospital value rankings well explored objective examine effects sds factors highvalue surgical care patient level illustrate importance sds adjustment evaluating hospitallevel performance perforated appendicitis hospitalizations identified 2012 kids inpatient database primary outcome interest highvalue care defined evaluation duration stay cost sds factors included race health insurance type median household income patient location impact sds highvalue care estimated using regression models accounting hospitallevel variation riskadjusted value rankings compared adjustment sds 9986 hospitalizations 998 highvalue encounters identified african americans less likely experience highvalue care compared white patients adjusting sds variables although private insurance living nonmetro counties associated independently highvalue care effects attenuated fully adjusted models 136 hospitals ranked according riskadjusted value status 59 hospitals rankings improved adjustment 53 hospitals rankings declined adjustment patient hospital factors sds small significant impact riskadjusted hospital performance ranking pediatric appendicitis adjustment sds considered future comparative performance assessment