Eldosougi, Huda, 1966-.
Analysis of post-neo-natal inpatient hospitalizations in the United States.
Degree: PhD, Biomedical Informatics, 2019, Rutgers University
According to the Organization for Economic Cooperation and Development (OECD), the United States expenditure on health care exceeds all other developed countries with similar income and lifestyle. Gross Domestic Product (GDP) expenditure in the U.S. on health was 17.5% in 2016 or 10000 per capita compared to 10% GDP or 2781 in the EU. Yet, Europeans have longer life spans of 83 years in the EU versus 78 in the USA. Infant mortality is at 2.3 per 1000 live births in Scandinavian countries compared to 5.6 in the USA. Infant hospitalization and inpatient care affect a large proportion of the population and significantly impact the economy. Liveborn (newborn infant) was the most common reason for hospitalization in the U.S. from 1997-2010, accounting for more than 3.9 million stays in 2010 (10 percent of all stays). The highest hospitalization rate by age group in the country is for infants less than one year old.31 Among hospitalized adults ages 18–44, 4 of the top 5 conditions are related to pregnancy and childbirth: trauma to the perineum and vulva due to childbirth, maternal stay with a previous Cesarean section, prolonged pregnancy, and hypertension complicating pregnancy and childbirth.”31 Optimal healthcare starts just before birth at prenatal care, and the first hospitalization is at birth.
Part of healthcare effectiveness is in access or availability and utilization of available resources such as hospitalization. Hospital inpatient care cost is almost a third of all healthcare expenditure in the United States representing a significant impact on the economy.
Healthcare equity remains a national political debate with 15% or 27.4 million non-elderly Americans still uninsured in 2017 compared to other developed countries which have almost 100% universal coverage. People at increased risk of poor health are also likely to perform specific health behaviors e.g. those without health insurance, those with fewer resources, those with less education, and low health literacy, or many who are already ill. Consequently, this further contributes to increased disparities in health outcomes. According to the Kaiser Family Foundation analysis of the National Health Interview Survey of 2017, 50% uninsured, 12 % publicly insured, and 11% privately insured had no usual source of care. Respondents said their usual source of care is the emergency room.
The goal of this study is to evaluate post-neo-natal healthcare, with a focus on secondary care and social determinants as some of the factors involved in healthcare inequities for socioeconomically disadvantaged families. The objective is to investigate hospitalization for infants and some of the demographics affecting inpatients in order to identify high risk populations and improve medical outcomes in post-neo-natal health. The hypothesis is to determine whether primary diagnoses, length of stay, hospital outcomes or patient disposition, and total charges of post-neo-natal admissions differ with race, income bracket, insurance type, or geographic regions in the United States.
Advisors/Committee Members: Srinivasan, Shankar (chair), Coffman, Frederick (co-chair), Kirk, Kathleen M. (internal member), School of Health Professions.
Subjects/Keywords: Medical care, Cost of – Social aspects; Newborn infants – Hospital care
to Zotero / EndNote / Reference
APA (6th Edition):
Eldosougi, Huda, 1. (2019). Analysis of post-neo-natal inpatient hospitalizations in the United States. (Doctoral Dissertation). Rutgers University. Retrieved from https://rucore.libraries.rutgers.edu/rutgers-lib/60606/
Chicago Manual of Style (16th Edition):
Eldosougi, Huda, 1966-. “Analysis of post-neo-natal inpatient hospitalizations in the United States.” 2019. Doctoral Dissertation, Rutgers University. Accessed December 14, 2019.
MLA Handbook (7th Edition):
Eldosougi, Huda, 1966-. “Analysis of post-neo-natal inpatient hospitalizations in the United States.” 2019. Web. 14 Dec 2019.
Eldosougi, Huda 1. Analysis of post-neo-natal inpatient hospitalizations in the United States. [Internet] [Doctoral dissertation]. Rutgers University; 2019. [cited 2019 Dec 14].
Available from: https://rucore.libraries.rutgers.edu/rutgers-lib/60606/.
Council of Science Editors:
Eldosougi, Huda 1. Analysis of post-neo-natal inpatient hospitalizations in the United States. [Doctoral Dissertation]. Rutgers University; 2019. Available from: https://rucore.libraries.rutgers.edu/rutgers-lib/60606/