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Related Experiment Videos

Specialty newborn care: trends and issues.

R M Schwartz1, R Kellogg, J H Muri

  • 1National Perinatal Information Center, 144 Wayland Avenue, Suite 300, Providence, RI 02906, USA.

Journal of Perinatology : Official Journal of the California Perinatal Association
|February 24, 2001
PubMed
Summary

Neonatal special care services have expanded nationwide, but significant variations in physician staffing exist, even in intensive care units. This highlights a need for more standardized care for high-risk newborns.

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Area of Science:

  • Neonatal care
  • Healthcare services research
  • Pediatric critical care

Background:

  • Availability of neonatal special care services in the US.
  • Examining variations in staffing and service provision.

Purpose of the Study:

  • To explore the availability of neonatal special care services across the US.
  • To examine variations in these services from staffing and service perspectives.

Main Methods:

  • Utilized American Hospital Association survey data.
  • Conducted a special national survey of hospitals with special care services (69% response rate).
  • Analyzed changes in high-risk care status between 1983 and 1997.

Main Results:

  • Neonatal special care supply has expanded across all US regions.

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  • Significant variation in medical staffing observed, even in intensive care units.
  • 25% of hospitals lacked 24-hour in-house physician coverage.

    • Conclusions:

    • Widespread availability of high-risk newborn care suggests a potential oversupply.
    • Differential physician staffing raises concerns about the need for standardized neonatal care.