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Factors Associated With Inpatient Subspecialty Consultation Patterns Among Pediatric Hospitalists

Key Points Question Which factors are associated with subspecialty consultation in the pediatric inpatient setting, and how does consultation vary among pediatric hospitalists? Findings In this cohort study of 7283… Click to show full abstract

Key Points Question Which factors are associated with subspecialty consultation in the pediatric inpatient setting, and how does consultation vary among pediatric hospitalists? Findings In this cohort study of 7283 hospitalized children cared for by 92 surveyed pediatric hospitalist physicians, private insurance and 0 to 2 years of attending physician experience were associated with greater odds of consultation. At the physician level, risk-adjusted consultation use was 2.1 times higher in the top quartile of consultation use compared with the bottom quartile. Meaning These findings suggest that consultation use varies significantly among pediatric hospitalists and is not solely related to clinical need.

Keywords: factors associated; pediatric hospitalists; subspecialty consultation; consultation; among pediatric

Journal Title: JAMA Network Open
Year Published: 2023

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