To the Editor: Dr. Kemper's article (April 21 issue)* has provided some insights into hospitalization patterns in a pediatric population. However, I find no mention of parental preferences as part of her analyses. Parents, whether frightened, frustrated, angry, hostile, or confused, are an integral factor in the hospitalization of a sick infant and in that child's subsequent discharge from the hospital. Adult medicine does not have these strict parallels, but the failure of pediatricians to consider the wishes of the parents represents poor care. This variable is extremely hard to incorporate into an analysis.
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