Practice Management

The rapidly disappearing community pediatric inpatient unit


Dr. Chang is a pediatric hospitalist at Baystate Children’s Hospital in Springfield, Mass., and is the pediatric editor of The Hospitalist.


1. McDaniels A. (2018). Protesters denounce reduction in pediatric services at Baltimore’s MedStar Franklin Square hospital. Baltimore Sun. Available at:

2. Roberts KB. Pediatric hospitalists in community hospitals: Hospital-based generalists with expanded roles. Hosp Pediatr. 2015 May;5(5):290-2.

3. Georgia Health News. (2018). A hospital crisis is killing rural communities. This state is ‘Ground Zero’. Available at:

4. DiFazio RL et al. Non-medical out-of-pocket expenses incurred by families during their child’s hospitalization. J Child Health Care. 2013 Sep;17(3):230-41.

5. Gunderman R. Hospitalist and the decline of comprehensive care. N Engl J Med. 2016 Sep 15; 375(11):1011-3.

6. Statistical Brief #56. (2018). Retrieved from

7. Overview of Hospital Stays for Children in the United States, 2012 #187. (2018). Retrieved from

8. Trends in Hospital Inpatient Stays by Age and Payer, 2000-2015 #235. (2018). Retrieved from

9. Maryland All-Payer Model | Center for Medicare & Medicaid Innovation. (2018). Retrieved from

10. The effects of Maryland’s unique health care system. (2018). Retrieved from

11. The Increasing Need for Hospitalist Programs to Demonstrate Value | SCP. (2018). Retrieved from


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