Author Affiliations: Division of General Pediatrics, Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania (Dr Keren); and Divisions of Hospital Medicine and Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio (Dr Shah).
The hospital is a site of increasingly complex and resource-intensive care for children. It is also a clinical setting that in recent years has undergone major changes in the organization, delivery, and financing of care, with reduction in resident work hours, requirements for greater attending oversight of trainees, increased scrutiny of clinical outcomes, new payment models that shift financial risk to health care providers, and new delivery models that attempt to provide greater value for money. This issue of JAMA Pediatrics focuses on hospital medicine, highlighting many of the issues that hospitals will face as they adapt to the rapidly changing health care delivery and financing landscape.
Keren R, Shah SS. JAMA Pediatrics Hospital Medicine Theme Issue. JAMA Pediatr. 2013;167(5):485–487. doi:10.1001/jamapediatrics.2013.384