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Reimagining Neonatal Follow-Up: An Equitable Model of Care Emphasizing Family and Child Function.

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Summary
This summary is machine-generated.

This review highlights challenges and inequity in neonatal follow-up care, proposing a model for equitable, function-focused care for premature infants in all settings.

Keywords:
Behavioral phenotype of prematurityHealth care equityHybrid careNeonatal follow-upNeonatal outcomes

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Area of Science:

  • Neonatal Medicine
  • Public Health
  • Healthcare Delivery Systems

Background:

  • Neonatal follow-up programs are crucial for assessing outcomes of preterm infants.
  • Historical reviews reveal persistent challenges in accessing and receiving equitable care.
  • Parental perspectives on important outcomes are often overlooked in traditional follow-up.

Purpose of the Study:

  • To review the history and challenges of neonatal follow-up.
  • To identify inequities in access and delivery of care.
  • To propose an equitable, function-focused model for neonatal follow-up.

Main Methods:

  • Systematic review of historical neonatal follow-up literature.
  • Analysis of common and parent-identified outcomes of prematurity.
  • Assimilation of evidence from various care models.
  • Development of a proposed care model integrating local resources and academic centers.

Main Results:

  • Significant challenges and inequities exist in neonatal follow-up access and delivery.
  • Common and parent-prioritized outcomes of prematurity are identified.
  • Various care models demonstrate potential for improved delivery.
  • A collaborative, resource-leveraging model can enhance equity.

Conclusions:

  • Addressing historical inequities in neonatal follow-up is essential.
  • A function-focused, equitable care model is needed for all infants.
  • Collaboration between local resources and academic centers can improve care delivery.
  • Future models should prioritize parental-identified outcomes and functional status.