Implementation of the Reimbursement Cost of Human-Milk-Based Neonatal Therapy in Polish Health Care Service
| Autor: | Dominik Golicki, Beata Pawlus, Elena Sinkiewicz-Darol, Urszula Bernatowicz-Lojko, Aleksandra Wesołowska |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Health care service Breastfeeding Reimbursement rates Reimbursement Mechanisms 03 medical and health sciences 0302 clinical medicine Intensive Care Units Neonatal Humans Medicine 030212 general & internal medicine Medical nutrition therapy Infant Nutritional Physiological Phenomena Reimbursement 030219 obstetrics & reproductive medicine Milk Human business.industry Infant Newborn Infant Obstetrics and Gynecology Infant nutrition Health Care Costs Milk Banks Family medicine Female Infant Food Poland business Delivery of Health Care |
| Zdroj: | Journal of Human Lactation. 36:426-435 |
| ISSN: | 1552-5732 0890-3344 |
| DOI: | 10.1177/0890334420909815 |
| Popis: | Background A human-milk-based diet is the best option for nutritional therapy for preterm and/or sick newborns. Research aim The study aims were to restructure the reimbursement rates to hospitals in Poland for infants’ tube feedings to favor the use of donor human milk over formula for newborns who required supplementation of expressed mother’s milk and evaluate the results of the financing change during the first year of implementation (2018). Methods Financial data from hospitals were collected (2015–2016) by the Human Milk Bank Foundation using a data sheet designed by the Agency for Health Technology Assessment and Tariff System. We used data to restructure the reimbursement rates to hospitals for infants’ tube feedings and implemented the changes in late 2017. The National Health Fund was requested to share reported data in 2018 concerning tube feeding services. Results More than half (61%) of NICUs introduced human milk tube feeding for newborns. It was provided to participants ( N = 5,530), most frequently to seriously ill preterm infants (66.6%). Of these infants, 2,323 were fed donor human milk. Only 1,925 newborns received formula tube feeding. However, there were large differences in frequency of services reported among various parts of the country. Conclusions Based on our knowledge, Poland is the only European country where the reimbursement cost for human-milk-based nutritional therapy has been implemented in a manner intended to increase the quality of health care services for preterm newborns. Equal reimbursement for expressed mother’s milk and donor milk did not appear to cause overuse of donor milk based on our analysis of the 2018 data. |
| Databáze: | OpenAIRE |
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