Racial and ethnic differences in hospital-based low-value pediatric care - Scorecard - MDSpire
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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

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Clinical Scorecard: Disparities in Low-Value Pediatric Care in Hospital Settings Based on Race and Ethnicity

At a Glance

CategoryDetail
ConditionLow-Value Care (LVC) in Pediatrics
Key MechanismsInfluence of race and ethnicity on the delivery of low-value care services.
Target PopulationHospitalized children across various racial and ethnic groups.
Care SettingInpatient 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.

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