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Evaluation ViewAttendees 37
State of the Art Plenary

Epidemiology

General Pediatrics

Health Equity/Social Determinants of Health

Health Services Research

Neonatology

Public Health
Session Type: State of the Art Plenary

National Trends in the Availability and Use of Neonatal and Pediatric Services and Its Impact on Child Health: United States

Monday, May 6, 2024
8:00 AM – 9:30 AM ET
Location: Metro Toronto Convention Centre: 202
CE: Live CME: 1.5

Selected By: PAS Program Committee Leadership Team
Co-sponsored By: Emergency Medicine, SPR, APA
Disclosure(s):
Scott A. Lorch, MD, MSCE: I do not have any relevant financial / non-financial relationships with any proprietary interests.
ALYNA t. CHIEN, MDMS: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Session

Description: Hospital-based neonatal and pediatric services in the United States have been both centralizing and decentralizing over the past 20 years, depending on the patient population and different geographic areas. Available information on trends have been most robust for neonatal hospitalizations, but are also emerging for pediatric hospitalizations.

This state-of-the-art plenary begins with a historical overview of the above five most common hospital-based services pertaining to newborns and youth in the United States—maternity/general care nurseries; neonatal intensive care units (NICUs); pediatric emergency care; general pediatric inpatient units, and pediatric intensive care units (PICUs). It will then move into recent national trends within the United States and, where data are available, examines how the service accessibility relates to utilization and health outcomes.

This plenary poses and examines four key ideas:
A. Whether hospital-based neonatal and pediatric services in the United States could be considered competitive marketplaces, i.e., have enough providers to compete on service options and outcomes?
B. Whether the organization of hospital-based neonatal services is fundamentally different from or similar to the organization of hospital-based pediatric services?
C. How the organization of hospital-based neonatal and pediatric services is related to subsequent newborn and child health outcomes?
D. What research or policy changes are needed to optimize the outcomes of hospitalized newborns and children during this time of rapid change in the organization of hospital-based neonatal and pediatric services?

Learning Objectives:

  • Describe recent trends in the most common hospital-based neonatal and pediatric services in the United States.
  • Compare and contrast the organization of hospital-based neonatal and pediatric services in in the United States.
  • Identify key areas for future research and current advocacy to improve the delivery and organization of pediatric health care in the United States.

Presentations:

  • 8:00 AM – 8:10 AM ET
    Introduction: Why is Health Care Access Important?

    Speaker: Scott A. Lorch, MD, MSCE (he/him/his) – The Children's Hospital of Philadelphia

  • 8:10 AM – 8:25 AM ET
    The Evolution of Access to Maternity Care

    Speaker: Sara C. Handley, MD, MSCE (she/her/hers) – Children's Hospital of Philadelphia

  • 8:25 AM – 8:40 AM ET
    Growing Deregionalization of Neonatal Intensive Care and the Impact on Neonatal Outcomes

    Speaker: Ciaran S. Phibbs, PhD – Stanford University School of Medicine

  • 8:40 AM – 8:50 AM ET
    National Trends in the Market Availability of Hospital-Based Pediatric Services: United States 2011-2018

    Speaker: Olivia Zhao, MPhil (she/her/hers) – Harvard University

  • 8:50 AM – 9:00 AM ET
    Epidemiology of pediatric hospitalizations admissions across rural and non-rule regions of the United States

    Speaker: JoAnna Leyenaar, MD PhD MPH (she/her/hers) – Dartmouth Health Children's

  • 9:00 AM – 9:30 AM ET
    Q&A

    Speaker: ALYNA t. CHIEN, MDMS (she/her/hers) – Boston Children's Hospital