Child Opportunity Index 2.0 and acute care utilization among children with medical complexity.

ABSTRACT:

Background

Disproportionately high acute care utilization among children with medical complexity (CMC) is influenced by patient-level social complexity.

Objective

The objective of this study was to determine associations between ZIP code-level opportunity and acute care utilization among CMC.

Design, setting, and participants

This cross-sectional, multicenter study used the Pediatric Health Information Systems database, identifying encounters between 2016-2019. CMC aged 28 days to <16 years with an initial emergency department (ED) encounter or inpatient/observation admission in 2016 were included in primary analyses.

Main outcome and measures

We assessed associations between the nationally-normed, multi-dimensional, ZIP code-level Child Opportunity Index 2.0 (

SUBMITTER: Fritz CQ 

PROVIDER: S-EPMC9254633 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature