Potentially Better Practices for Follow Through in Neonatal Intensive Care Units.

Autor:	Edwards EM; Vermont Oxford Network, Burlington, Vermont.; Department of Pediatrics, Robert Larner, MD, College of Medicine, University of Vermont, Burlington, Vermont.; Department of Mathematics and Statistics, College of Engineering and Mathematical Sciences, Burlington, Vermont., Ehret DEY; Vermont Oxford Network, Burlington, Vermont.; Department of Pediatrics, Robert Larner, MD, College of Medicine, University of Vermont, Burlington, Vermont., Horbar JD; Vermont Oxford Network, Burlington, Vermont.; Department of Pediatrics, Robert Larner, MD, College of Medicine, University of Vermont, Burlington, Vermont.
Jazyk:	angličtina
Zdroj:	Pediatrics [Pediatrics] 2024 Jul 01; Vol. 154 (1).
DOI:	10.1542/peds.2023-065530
Abstrakt:	Objective: To ascertain how NICU teams are undertaking action to follow through, involving teams, families, and communities as partners to address health-related social needs of infants and families. Methods: Nineteen potentially better practices (PBPs) for follow through first published in 2020 were reported and analyzed as a sum, overall, and by safety-net hospital status, hospital ownership, and NICU type, among US NICUs that finalized Vermont Oxford Network data collection in 2023. Results: One hundred percent of 758 eligible hospitals completed the annual membership survey, of which 57.5% reported screening for social risks. Almost all NICUs offered social work, lactation support, and translation services, but only 16% included a lawyer or paralegal on the team. Overall, 90.2% helped families offset financial costs while their infants were in the hospital, either with direct services or vouchers. At discharge, 94.0% of NICUs connected families with appropriate community organizations and services, 52.9% provided telemedicine after discharge, and 11.7% conducted home visits. The median number of PBPs at each hospital was 10 (25th percentile: 8, 75th percentile: 12). The number of PBPs reported differed by hospital control or ownership and level of NICU care. There were no differences by safety-net hospital status. Conclusions: Despite concerns about time and resources, a diverse set of US NICUs reported adopting potentially better practices for follow through. However, the marked variation among NICUs and the lower rates at for-profit and lower-level NICUs suggest there is substantial opportunity for improvement. (Copyright © 2024 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
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