Objective

Our objective was to incorporate social and built environment factors into a compendium of multilevel factors among a cohort of very low birth weight infants to understand their contributions to inequities in NICU quality of care and support providers and NICUs in addressing these inequities via development of a health equity dashboard.

Study design

We examined bivariate associations between NICU patient pool and NICU catchment area characteristics and NICU quality of care with data from a cohort of 15,901 infants from 119 NICUs in California, born 2008–2011.

Result

NICUs with higher proportion of minority racial/ethnic patients and lower SES patients had lower quality scores. NICUs with catchment areas of lower SES, higher composition of minority residents, and more household crowding had lower quality scores.

Conclusion

Multilevel social factors impact quality of care in the NICU. Their incorporation into a health equity dashboard can inform providers of their patients’ potential resource needs.

中文翻译：

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加利福尼亚的多层次社会因素和 NICU 护理质量。

客观的

我们的目标是将社会和建筑环境因素纳入一组极低出生体重婴儿的多层次因素纲要中，以了解他们对 NICU 护理质量和支持提供者以及 NICU 在通过发展健康系统来解决这些不平等方面的贡献。股权仪表板。

学习规划

我们使用来自加利福尼亚州 119 个新生儿重症监护病房的 15,901 名婴儿（出生于 2008 年至 2011 年）的队列数据，研究了 NICU 患者群体和 NICU 集水区特征以及 NICU 护理质量之间的双变量关联。

结果

少数种族/民族患者比例较高和 SES 患者较低的 NICU 质量评分较低。集水区 SES 较低、少数民族人口构成较高和家庭拥挤程度较高的 NICU 质量得分较低。

结论

多层次的社会因素影响新生儿重症监护病房的护理质量。将它们纳入健康公平仪表板可以告知提供者其患者的潜在资源需求。