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[Analysis of a Family-centred Care Programme with Follow-up Home-visits in Neonatology - In Times of the Directive

B M Hüning1, M Reimann2, S Sahlmen2

  • 1Department of Neonatology, University Children's Hospital Essen, Essen.

Klinische Padiatrie
|April 5, 2016
PubMed

Insights

Family-centered care (FCC) in neonatology shows high participation rates for very low birth weight (VLBW) infants. The time and personnel costs associated with this essential care model are manageable.

Area of Science:

  • Neonatal care
  • Family-centered care
  • Healthcare economics

Background:

  • Advances in neonatology have evolved care for very preterm infants (VLBW).
  • There is a growing recognition of the necessity for family-centered care (FCC) in neonatal settings.
  • Political directives acknowledge the importance of FCC in neonatology.

Purpose of the Study:

  • To evaluate the time and personnel costs associated with an established family-centered care (FCC) program.
  • To assess the economic impact of implementing FCC for neonates.

Main Methods:

  • The study analyzed the "Elternberatung Frühstart" FCC program for VLBW and critically ill neonates from 2011-2014.
  • Data included case numbers, participation rates, time and personnel resources, funding, and economic impact.
  • The program involved an interdisciplinary team providing home visits from pregnancy risk to post-discharge follow-up.

Main Results:

  • 441 cases participated in the FCC program (92% of VLBW infants).
  • Time costs were highest for neonates with congenital malformations (median 13.8h) and VLBW infants (median 11.2h).
  • Transition to home was the most time-intensive phase (median 7.3h), with 3.1 full-time nurses counseling 48 families per quarter.

Conclusions:

  • Participation in neonatal family-centered care programs is high.
  • The time and personnel costs for established FCC programs are manageable.
  • FCC is a feasible and effective model for neonatal care.
Abstract

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