TY - JOUR T1 - IMplications of the growing use of freestanding children's hospitals AU - Fieldston ES, Altschuler SM Y1 - 2013/02/01 N1 - 10.1001/2013.jamapediatrics.126 JO - JAMA Pediatrics SP - 190 EP - 192 VL - 167 IS - 2 N2 - In this issue of the journal, Berry et al1 present a longitudinal study documenting the growth in resource use of freestanding children's hospitals over 5 years. Using a system to classify patients by levels of chronic conditions, the authors report that hospitalizations increased by 18% to 32% for children with chronic conditions, most notably for those with complex lifelong chronic conditions. Freestanding children's hospitals play a unique role in caring for children, particularly those with special needs. While the study used data from half of the nation's freestanding children's hospitals, the results are likely representative of the experiences seen at all such institutions as well as at hospitals with large and comprehensive pediatric programs. Therefore, the implications for the future of pediatric health care and its reimbursement are profound. SN - 2168-6203 M3 - doi: 10.1001/2013.jamapediatrics.126 UR - http://dx.doi.org/10.1001/2013.jamapediatrics.126 ER -