Healthcare System-to-System Cost Variability in the Care of Pediatric Abdominal Pain-Associated Functional Gastrointestinal Disorders

The purpose of this study was to assess cost variability in the care of abdominal pain-associated functional gastrointestinal disorders (AP-FGIDS) in youth across health systems, races, and specific AP-FGID diagnoses. Patients, aged 8–17 years, with a priority 1 diagnosis corresponding to a Rome IV...

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Autores principales:	Michelle Livitz, Alec S. Friesen, Earl F. Glynn, Jennifer V. Schurman, Jennifer M. Colombo, Craig A. Friesen
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	functional gastrointestinal disorders irritable bowel syndrome functional dyspepsia abdominal pain abdominal migraine health care disparity Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/66887c803b1d45829012bf07799c57d6
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spelling	oai:doaj.org-article:66887c803b1d45829012bf07799c57d62021-11-25T17:14:15ZHealthcare System-to-System Cost Variability in the Care of Pediatric Abdominal Pain-Associated Functional Gastrointestinal Disorders10.3390/children81109852227-9067https://doaj.org/article/66887c803b1d45829012bf07799c57d62021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/985https://doaj.org/toc/2227-9067The purpose of this study was to assess cost variability in the care of abdominal pain-associated functional gastrointestinal disorders (AP-FGIDS) in youth across health systems, races, and specific AP-FGID diagnoses. Patients, aged 8–17 years, with a priority 1 diagnosis corresponding to a Rome IV defined AP-FGID were identified within the Health Facts<sup>®</sup> database. Total costs were obtained across the continuum of care including outpatient clinics, emergency department, and inpatient or observation units. Cost variability was described comparing different health systems, races, and diagnoses. Thirteen thousand two hundred and fourteen patients were identified accounting for 17,287 encounters. Total costs were available for 38.7% of the encounters. There was considerable variability in costs within and, especially, across health systems. Costs also varied across race, urban vs. rural site of care, and AP-FGID diagnoses. In conclusion, there was considerable variability in the costs for care of AP-FGIDs which is sufficient to support multi-site studies to understand the value of specific tests and treatments. Significant differences in costs by race merit further investigation to understand key drivers.Michelle LivitzAlec S. FriesenEarl F. GlynnJennifer V. SchurmanJennifer M. ColomboCraig A. FriesenMDPI AGarticlefunctional gastrointestinal disordersirritable bowel syndromefunctional dyspepsiaabdominal painabdominal migrainehealth care disparityPediatricsRJ1-570ENChildren, Vol 8, Iss 985, p 985 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	functional gastrointestinal disorders irritable bowel syndrome functional dyspepsia abdominal pain abdominal migraine health care disparity Pediatrics RJ1-570
spellingShingle	functional gastrointestinal disorders irritable bowel syndrome functional dyspepsia abdominal pain abdominal migraine health care disparity Pediatrics RJ1-570 Michelle Livitz Alec S. Friesen Earl F. Glynn Jennifer V. Schurman Jennifer M. Colombo Craig A. Friesen Healthcare System-to-System Cost Variability in the Care of Pediatric Abdominal Pain-Associated Functional Gastrointestinal Disorders
description	The purpose of this study was to assess cost variability in the care of abdominal pain-associated functional gastrointestinal disorders (AP-FGIDS) in youth across health systems, races, and specific AP-FGID diagnoses. Patients, aged 8–17 years, with a priority 1 diagnosis corresponding to a Rome IV defined AP-FGID were identified within the Health Facts<sup>®</sup> database. Total costs were obtained across the continuum of care including outpatient clinics, emergency department, and inpatient or observation units. Cost variability was described comparing different health systems, races, and diagnoses. Thirteen thousand two hundred and fourteen patients were identified accounting for 17,287 encounters. Total costs were available for 38.7% of the encounters. There was considerable variability in costs within and, especially, across health systems. Costs also varied across race, urban vs. rural site of care, and AP-FGID diagnoses. In conclusion, there was considerable variability in the costs for care of AP-FGIDs which is sufficient to support multi-site studies to understand the value of specific tests and treatments. Significant differences in costs by race merit further investigation to understand key drivers.
format	article
author	Michelle Livitz Alec S. Friesen Earl F. Glynn Jennifer V. Schurman Jennifer M. Colombo Craig A. Friesen
author_facet	Michelle Livitz Alec S. Friesen Earl F. Glynn Jennifer V. Schurman Jennifer M. Colombo Craig A. Friesen
author_sort	Michelle Livitz
title	Healthcare System-to-System Cost Variability in the Care of Pediatric Abdominal Pain-Associated Functional Gastrointestinal Disorders
title_short	Healthcare System-to-System Cost Variability in the Care of Pediatric Abdominal Pain-Associated Functional Gastrointestinal Disorders
title_full	Healthcare System-to-System Cost Variability in the Care of Pediatric Abdominal Pain-Associated Functional Gastrointestinal Disorders
title_fullStr	Healthcare System-to-System Cost Variability in the Care of Pediatric Abdominal Pain-Associated Functional Gastrointestinal Disorders
title_full_unstemmed	Healthcare System-to-System Cost Variability in the Care of Pediatric Abdominal Pain-Associated Functional Gastrointestinal Disorders
title_sort	healthcare system-to-system cost variability in the care of pediatric abdominal pain-associated functional gastrointestinal disorders
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/66887c803b1d45829012bf07799c57d6
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Healthcare System-to-System Cost Variability in the Care of Pediatric Abdominal Pain-Associated Functional Gastrointestinal Disorders

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