Care Coordination Associated with Improved Timing of Newborn Primary Care Visits

Neera K Goyal1,2,3,4, Eric S Hall5,6, Robert S Kahn5,7

  • 1Division of Neonatology and Pulmonary Biology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave. ML# 7009, Cincinnati, OH, USA. neera.goyal@cchmc.org.

Insights

Care coordination significantly improves timely newborn follow-up appointments, especially for low-income families. This enhances adherence to essential post-birth healthcare recommendations.

Area of Science:

  • Pediatrics
  • Healthcare Management
  • Public Health

Background:

  • Post-discharge newborn follow-up within 3-5 days is recommended but often not achieved.
  • Factors influencing timely newborn care coordination require further investigation.

Purpose of the Study:

  • To determine the association between care coordination programs and the timing of newborn follow-up appointments.
  • To assess the impact of discharge and primary care coordination on adherence to recommended newborn care.

Main Methods:

  • Retrospective study of 6251 newborns across eight maternity hospitals.
  • Sequential implementation of newborn discharge coordination and primary care intake coordination programs.
  • Analysis of days between discharge and follow-up, rescheduled appointments, and loss to follow-up using regression models.

Main Results:

  • Only 52.9% of newborns attended follow-up within 5 days (mean 6.7 days).
  • Care coordination programs increased the likelihood of recommended follow-up by 72% (discharge coordination) and 33% (primary care coordination).
  • Primary care coordination reduced the odds of loss to follow-up by 13% monthly.

Conclusions:

  • Care coordination strategies demonstrably improve timely newborn follow-up adherence.
  • These interventions are particularly beneficial for low-income families.
  • Enhanced coordination positively impacts newborn healthcare access and reduces follow-up attrition.

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