Megumi Takahashi, Brage Førland, Luis A Pastene, Hans J Skaug
Geographical distribution of close kin in southern right whales on feeding grounds
PloS one
gaps care gic common patients congenital heart disease chd lead worsening clinical status unplanned hospitalization mortality understanding social determinants health sdoh contribute gic chd incomplete hypothesize sdoh including child opportunity index coi associated gic patients significant chd total 8554 patients followed regional specialty pediatric hospital moderate severe chd seen cardiology clinic january 2013 december 2015 retrospectively reviewed sdoh factors including race ethnicity language coi calculated based home address zip code analyzed gic 325 years identified 32 2709 patients gic associated ages 14 29 years p0001 black race hispanic ethnicity p0001 living 150 miles hospital p0017 public health insurance p0001 maternal education level high school less p0001 low coi p0001 multivariable analysis showed gic associated age 14 years black race hispanic ethnicity documenting 3 caregivers contacts mothers education level high school less lowlow coi insurance status c statistic 066 onethird patients followed regional referral center significant chd experienced substantial gic 325 years several sdoh including low coi associated gic hospitals adopt formal gic improvement programs focusing sdoh improve continuity care ultimately overall outcomes patients chd