Outpatient healthcare access and utilization for neonatal abstinence syndrome children: A systematic review.

Autor:	Van Horn A; Department of Otolaryngology - Head and Neck Surgery, University of Kentucky Medical Center, Lexington, KY, USA., Powell W; University of Kentucky College of Medicine, Lexington, KY, USA., Wicker A; University of Kentucky College of Medicine, Lexington, KY, USA., Mahairas AD; Department of Otolaryngology - Head and Neck Surgery, University of Kentucky Medical Center, Lexington, KY, USA., Creel LM; Department of Health Management and Systems Sciences, School of Public Health and Information Sciences, University of Louisville, Louisville, KY, USA., Bush ML; Department of Otolaryngology - Head and Neck Surgery, University of Kentucky Medical Center, Lexington, KY, USA.
Jazyk:	angličtina
Zdroj:	Journal of clinical and translational science [J Clin Transl Sci] 2019 Aug 29; Vol. 4 (5), pp. 389-397. Date of Electronic Publication: 2019 Aug 29.
DOI:	10.1017/cts.2019.407
Abstrakt:	Objective: The objective of this study was to systematically assess the literature regarding postnatal healthcare utilization and barriers/facilitators of healthcare in neonatal abstinence syndrome (NAS) children. Methods: A systematic search was performed in PubMed, Cochrane Database of Systematic Reviews, PsychINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Web of Science to identify peer-reviewed research. Eligible studies were peer-reviewed articles reporting on broad aspects of primary and specialty healthcare utilization and access in NAS children. Three investigators independently reviewed all articles and extracted data. Study bias was assessed using the Newcastle-Ottawa Assessment Scale and the National Institute of Health Study Quality Assessment Tool. Results: This review identified 14 articles that met criteria. NAS children have poorer outpatient appointment adherence and have a higher rate of being lost to follow-up. These children have overall poorer health indicated by a significantly higher risk of ER visits, hospital readmission, and early childhood mortality compared with non-NAS infants. Intensive multidisciplinary support provided through outpatient weaning programs facilitates healthcare utilization and could serve as a model that could be applied to other healthcare fields to improve the health among this population. Conclusions: This review investigated the difficulties in accessing outpatient care as well as the utilization of such care for NAS infants. NAS infants tend to have decreased access to and utilization of outpatient healthcare following hospital birth discharge. Outpatient weaning programs have proven to be effective; however, these programs require intensive resources and care coordination that has yet to be implemented into other healthcare areas for NAS children. Competing Interests: There are no conflicts of interests with the content of this manuscript. (© The Association for Clinical and Translational Science 2019.)
Databáze:	MEDLINE
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