Background

Data available on the economics of medical child protection teams stems from prior surveys delivered in 2008 and 2012.

Objective

The objective was to describe the current financing strategies of medical child maltreatment groups for benchmarking purposes. Additionally, we aimed to quantify often difficult to measure child abuse services that provide value to pediatric hospitals.

Participants and setting

In 2017, a 115-item survey was distributed to 230 pediatric hospitals inquiring about child abuse services for the 2015 calendar year.

Methods

The financial topics including budget, revenue, reimbursement, expenses, research, education, and community partnership were analyzed using descriptive statistics. Previous data from similar surveys deployed in 2008 and 2012 were used when applicable to formulate trends.

Results

One hundred and thirteen children's hospitals responded comprising a response rate of 49 %. One hundred and four hospitals provided child abuse services at some level. Sixty-two programs (26 %) responded to items about budget. Overall, average team operating budgets increased from $1.15 million in 2008 to $1.4 million in 2015. Few clinical services rendered received full reimbursement. Valuable non-clinical services were poorly reimbursed. An average of 5.45 funding sources were used to supplement remunerations.

Conclusion

Child maltreatment teams within pediatric hospitals provide services that are largely unfunded as they are not currently recognized by healthcare payment models. These specialists perform a variety of clinical and non-clinical responsibilities that are critical to the care of this population while relying on a variety of funding sources to support their efforts.

中文翻译：

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2015 年为儿科医院虐待儿童小组提供资金：全国调查结果

背景

医疗儿童保护团队的经济数据来自 2008 年和 2012 年进行的先前调查。

客观的

目的是描述医疗虐待儿童团体的当前融资策略，以用于基准测试。此外，我们旨在量化通常难以衡量的为儿科医院提供价值的虐待儿童服务。

参与者和设置

2017 年，向 230 家儿科医院分发了一份包含 115 个项目的调查，询问 2015 日历年的儿童虐待服务情况。

方法

使用描述性统计分析了包括预算、收入、报销、费用、研究、教育和社区伙伴关系在内的财务主题。在适用的情况下，使用了 2008 年和 2012 年部署的类似调查的先前数据来制定趋势。

结果

113 家儿童医院做出了回应，回应率为 49%。104 家医院提供了某种程度的虐待儿童服务。62 个项目 (26%) 对有关预算的项目做出了回应。总体而言，平均团队运营预算从 2008 年的 115 万美元增加到 2015 年的 140 万美元。提供的临床服务很少得到全额报销。有价值的非临床服务得到的报销很少。平均有 5.45 个资金来源用于补充薪酬。

结论

儿科医院内的儿童虐待团队提供的服务基本上没有资金，因为他们目前不被医疗支付模式所认可。这些专家在依靠各种资金来源支持他们的努力的同时，履行对这一人群的护理至关重要的各种临床和非临床职责。