Disparities in Low-Value Pediatric Care in Hospital Settings Based on Race and Ethnicity
By
Elisha McCoy
Megan E. Collins
Jillian M. Cotter
Natalie Grills
Matt Hall
Jessica Markham
Matthew J. Molloy
Michelle Polich
Michael J. Steiner
John R. Stephens
Michael J. Tchou
Ronald Teufel
Irma Ugalde
Andrew Yu
Samantha A. House
September 22, 2026
Clinical Scorecard: Disparities in Low-Value Pediatric Care in Hospital Settings Based on Race and Ethnicity
At a Glance
Category Detail
Condition Low-Value Care (LVC) in Pediatrics
Key Mechanisms Influence of race and ethnicity on the delivery of low-value care services.
Target Population Hospitalized children across various racial and ethnic groups.
Care Setting Inpatient pediatric hospital settings
Key Highlights
LVC delivery affects pediatric populations, generating unnecessary health care expenditures. Racial and ethnic variation in LVC delivery has been observed, particularly in emergency departments. The study utilized the PHIS LVC Calculator to assess low-value services in hospitalized children. Double jeopardy phenomenon noted: overuse of low-value services and underuse of high-value services. Research indicates that equity in service delivery should be measured alongside aggregate LVC rates.
Guideline-Based Recommendations
Diagnosis
Assess LVC delivery rates among different racial and ethnic groups.
Management
Investigate contributing drivers of LVC disparities to inform deimplementation priorities.
Monitoring & Follow-up
Utilize the PHIS LVC Calculator for ongoing assessment of low-value care delivery.
Risks
Potential harms from unnecessary low-value services and associated costs.
Patient & Prescribing Data
Children hospitalized across various racial and ethnic backgrounds.
Focus on reducing low-value care services while ensuring high-value services are utilized.
Clinical Best Practices
Evaluate the appropriateness of care delivered to pediatric patients based on LVC metrics. Consider structural determinants of health when addressing disparities in care delivery.
Related Resources & Content