Kozak L J, McCarthy E
U.S. Department of Health and Human Services, National Center for Health Statistics, Hyattsville, Md.
Vital Health Stat 5. 1984 Aug(1):1-59.
The hospital discharge rate of children under 15 years of age is lower in the United States than in many other countries. This comparison of children's hospital use in the United States and Canada explores possible reasons for the relatively low discharge rate of U.S. children. Discharge rates are compared by age, sex, diagnosis, and surgical procedure. Morbidity and mortality rates are examined for indications that U.S. children are in better health than Canadian children and thus are less likely to need hospitalization. Characteristics of the health services systems in the two countries are investigated for evidence that ambulatory care is substituted for inpatient care in the treatment of U.S. children or that U.S. children have greater problems obtaining access to hospital care than Canadian children.
美国15岁以下儿童的出院率低于许多其他国家。对美国和加拿大儿童住院情况的比较探讨了美国儿童出院率相对较低的可能原因。按年龄、性别、诊断和手术程序对出院率进行了比较。检查发病率和死亡率，以寻找美国儿童比加拿大儿童健康状况更好、因此住院可能性更小的迹象。调查两国卫生服务系统的特点，以寻找证据，证明在美国儿童的治疗中门诊护理替代了住院护理，或者美国儿童在获得医院护理方面比加拿大儿童面临更大的问题。
