{"id":"https://openalex.org/W7215100754","doi":"https://doi.org/10.17615/9krb-3w19","title":"Racial and ethnic differences in hospital\u2010based low\u2010value pediatric care","display_name":"Racial and ethnic differences in hospital\u2010based low\u2010value pediatric care","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7215100754","doi":"https://doi.org/10.17615/9krb-3w19"},"language":"en","primary_location":{"id":"doi:10.17615/9krb-3w19","doi":"https://doi.org/10.17615/9krb-3w19","is_oa":true,"landing_page_url":"https://doi.org/10.17615/9krb-3w19","pdf_url":null,"source":{"id":"https://openalex.org/S7407051488","display_name":"UNC Libraries","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article-journal"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.17615/9krb-3w19","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5056517131","display_name":"Jillian Mayer Cotter","orcid":"https://orcid.org/0000-0002-7978-9045","observed_orcids":["https://orcid.org/0000-0002-7978-9045"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Cotter, Jillian M.","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020092159","display_name":"John R. Stephens","orcid":"https://orcid.org/0000-0002-4174-6744","observed_orcids":["https://orcid.org/0000-0002-4174-6744"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephens, John R.","raw_affiliation_strings":["University of North Carolina at Chapel Hill"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093361830","display_name":"Michelle Polich","orcid":"https://orcid.org/0000-0002-1636-6870","observed_orcids":["https://orcid.org/0000-0002-1636-6870"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Polich, Michelle","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153716163","display_name":"Andrew Yu","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yu, Andrew","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049418623","display_name":"Samantha A. House","orcid":"https://orcid.org/0000-0002-7459-4054","observed_orcids":["https://orcid.org/0000-0002-7459-4054"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"House, Samantha A.","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007744476","display_name":"Megan E. Collins","orcid":"https://orcid.org/0000-0002-6493-0077","observed_orcids":["https://orcid.org/0000-0002-6493-0077"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Collins, Megan E.","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020572806","display_name":"Irma T. Ugalde","orcid":"https://orcid.org/0000-0002-8899-4040","observed_orcids":["https://orcid.org/0000-0002-8899-4040"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ugalde, Irma","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087577575","display_name":"Matthew J. Molloy","orcid":"https://orcid.org/0000-0001-6290-568X","observed_orcids":["https://orcid.org/0000-0001-6290-568X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Molloy, Matthew J.","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011156333","display_name":"Ronald J. Teufel","orcid":"https://orcid.org/0000-0003-1095-5364","observed_orcids":["https://orcid.org/0000-0003-1095-5364"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Teufel, Ronald","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043998505","display_name":"Jessica L. Markham","orcid":"https://orcid.org/0000-0003-1616-7721","observed_orcids":["https://orcid.org/0000-0003-1616-7721"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Markham, Jessica","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110262950","display_name":"Elisha McCoy","orcid":"https://orcid.org/0000-0002-6299-064X","observed_orcids":["https://orcid.org/0000-0002-6299-064X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"McCoy, Elisha","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Steiner, Michael J.","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Steiner, Michael J.","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014118579","display_name":"Michael J. Tchou","orcid":"https://orcid.org/0000-0001-9710-8920","observed_orcids":["https://orcid.org/0000-0001-9710-8920"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tchou, Michael J.","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5107430618","display_name":"Matt Hall","orcid":"https://orcid.org/0000-0001-7778-5887","observed_orcids":["https://orcid.org/0000-0001-7778-5887"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hall, Matt","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5105018291","display_name":"Natalie K. Grills","orcid":"https://orcid.org/0009-0009-4887-6590","observed_orcids":["https://orcid.org/0009-0009-4887-6590"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Grills, Natalie","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/low-value-care","display_name":"low-value care","score":0.9980000257492065},{"id":"https://openalex.org/keywords/racial-and-ethnic-disparities","display_name":"racial and ethnic disparities","score":0.9020000100135803},{"id":"https://openalex.org/keywords/hospitalized-children","display_name":"hospitalized children","score":0.9049999713897705},{"id":"https://openalex.org/keywords/pediatric-care","display_name":"pediatric care","score":0.6399999856948853},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.3889999985694885},{"id":"https://openalex.org/keywords/de-implementation","display_name":"de-implementation","score":0.5740000009536743},{"id":"https://openalex.org/keywords/antipsychotic-drugs","display_name":"antipsychotic drugs","score":0.8019999861717224},{"id":"https://openalex.org/keywords/broad-spectrum-antibiotics","display_name":"broad-spectrum antibiotics","score":0.9549999833106995},{"id":"https://openalex.org/keywords/community-acquired-pneumonia","display_name":"community-acquired pneumonia","score":0.9869999885559082},{"id":"https://openalex.org/keywords/racial-disparities-in-health-care","display_name":"racial disparities in health care","score":0.5080000162124634}],"concepts":[{"id":"https://openalex.org/C137403100","wikidata":"https://www.wikidata.org/wiki/Q41710","display_name":"Ethnic group","level":2,"score":0.8116999864578247},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6629999876022339},{"id":"https://openalex.org/C2778979077","wikidata":"https://www.wikidata.org/wiki/Q330190","display_name":"Receipt","level":2,"score":0.6215000152587891},{"id":"https://openalex.org/C76509639","wikidata":"https://www.wikidata.org/wiki/Q918036","display_name":"Race (biology)","level":2,"score":0.5110999941825867},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.5063999891281128},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.4867999851703644},{"id":"https://openalex.org/C2776436953","wikidata":"https://www.wikidata.org/wiki/Q5163215","display_name":"Consistency (knowledge bases)","level":2,"score":0.4562000036239624},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.44130000472068787},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.4081000089645386},{"id":"https://openalex.org/C184898388","wikidata":"https://www.wikidata.org/wiki/Q1435712","display_name":"Pairwise comparison","level":2,"score":0.39910000562667847},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.33149999380111694},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.328000009059906},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.3260999917984009},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3046000003814697},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.29750001430511475},{"id":"https://openalex.org/C2987028688","wikidata":"https://www.wikidata.org/wiki/Q49085","display_name":"African american","level":2,"score":0.2757999897003174},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.2655999958515167},{"id":"https://openalex.org/C56273599","wikidata":"https://www.wikidata.org/wiki/Q3122841","display_name":"White (mutation)","level":3,"score":0.26249998807907104},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.25119999051094055}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.17615/9krb-3w19","doi":"https://doi.org/10.17615/9krb-3w19","is_oa":true,"landing_page_url":"https://doi.org/10.17615/9krb-3w19","pdf_url":null,"source":{"id":"https://openalex.org/S7407051488","display_name":"UNC Libraries","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article-journal"}],"best_oa_location":{"id":"doi:10.17615/9krb-3w19","doi":"https://doi.org/10.17615/9krb-3w19","is_oa":true,"landing_page_url":"https://doi.org/10.17615/9krb-3w19","pdf_url":null,"source":{"id":"https://openalex.org/S7407051488","display_name":"UNC Libraries","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article-journal"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/10","score":0.8974000215530396,"display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7129098392","https://openalex.org/W4407104823","https://openalex.org/W4214641768","https://openalex.org/W4281762218","https://openalex.org/W4214750016","https://openalex.org/W4390112666","https://openalex.org/W4402377929","https://openalex.org/W4200298128","https://openalex.org/W3061054984","https://openalex.org/W4390959554"],"abstract_inverted_index":{"BACKGROUND:":[0],"Low-value":[1],"care":[2,5],"(LVC),":[3],"or":[4,96,101,106,169],"in":[6,83,213,228,248],"which":[7],"potential":[8],"risk":[9],"outweighs":[10],"perceived":[11],"benefits,":[12],"continues":[13],"to":[14,24,45,64,70,80,117,140],"impact":[15],"pediatric":[16,19],"populations.":[17],"While":[18],"healthcare":[20],"delivery":[21],"is":[22,32,242],"known":[23,33],"vary":[25],"across":[26,85,152,177,230],"racial":[27,153],"and":[28,39,41,104,154,190,218,236],"ethnic":[29,155],"groups,":[30],"little":[31],"about":[34],"the":[35,57,125,142,174],"relationship":[36,48],"between":[37],"race":[38,217],"ethnicity":[40,219],"LVC.":[42,171],"We":[43,74,132,210],"sought":[44],"evaluate":[46],"this":[47],"among":[49,223],"hospitalized":[50,224],"children.":[51],"METHODS:":[52],"This":[53],"cross-sectional":[54],"study":[55],"applied":[56],"Pediatric":[58],"Health":[59],"Information":[60],"System":[61],"LVC":[62,84,122,150,214],"Calculator":[63],"encounters":[65],"from":[66],"July":[67],"1,":[68],"2022":[69],"June":[71],"30,":[72],"2024.":[73],"used":[75],"generalized":[76],"estimating":[77],"equation":[78],"models":[79],"analyze":[81],"differences":[82,204,212],"seven":[86],"groups":[87,156,178],"(Non-Hispanic":[88],"White,":[89],"Non-Hispanic":[90,126],"Black,":[91],"Hispanic,":[92],"Asian,":[93],"American":[94],"Indian":[95],"Alaska":[97],"Native,":[98],"Native":[99],"Hawaiian":[100],"Pacific":[102],"Islander,":[103],"Other":[105],"Multiracial).":[107],"For":[108],"measures":[109],"with":[110,124,163,173,202,239],"across-group":[111,203],"differences,":[112],"we":[113],"performed":[114,134],"pairwise":[115],"comparisons":[116],"assess":[118],"differential":[119],"odds":[120],"of":[121,188,234],"receipt":[123,215],"White":[127],"group":[128,165],"as":[129],"a":[130,135],"referent.":[131],"then":[133],"subanalysis":[136,198],"applying":[137],"these":[138,240],"methods":[139],"only":[141],"largest":[143],"groups.":[144],"RESULTS:":[145],"Of":[146],"14":[147],"eligible":[148],"measures,":[149],"varied":[151,160],"for":[157,183,193,206,220],"seven.":[158],"Patterns":[159],"by":[161,216],"measure,":[162],"no":[164],"demonstrating":[166],"consistently":[167],"high":[168],"low":[170],"Measures":[172],"greatest":[175],"variation":[176],"included":[179],"head":[180],"computed":[181],"tomography":[182],"first":[184],"seizure,":[185],"concurrent":[186],"use":[187],"antipsychotics,":[189],"broad-spectrum":[191],"antibiotics":[192],"uncomplicated":[194],"community-acquired":[195],"pneumonia.":[196],"Our":[197],"demonstrated":[199],"similar":[200],"findings,":[201],"noted":[205],"eight":[207],"measures.":[208,231],"CONCLUSIONS:":[209],"identified":[211],"some":[221],"services":[222],"patients,":[225],"without":[226],"consistency":[227],"patterns":[229,241],"Further":[232],"evaluation":[233],"drivers":[235],"outcomes":[237],"associated":[238],"needed;":[243],"our":[244],"findings":[245],"may":[246],"assist":[247],"prioritizing":[249],"deimplementation":[250],"efforts.":[251]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-10-02T00:00:00"}