Regionalization and Mortality in Neonatal Intensive Care

被引：35

作者：

Holmstrom, Scott T. ^{[1
,2
]}

Phibbs, Ciaran S. ^{[1
,2
,3
,4
,5
]}

机构：

[1] VA Palo Alto Hlth Care Syst, Hlth Econ Resource Ctr, Menlo Pk, CA 94025 USA

[2] VA Palo Alto Hlth Care Syst, Ctr Hlth Care Evaluat, Menlo Pk, CA 94025 USA

[3] Stanford Univ, Sch Med, Dept Pediat, Stanford, CA 94304 USA

[4] Stanford Univ, Sch Med, Dept Hlth Res & Policy, Stanford, CA 94305 USA

[5] Stanford Univ, Sch Med, Ctr Primary Care Outcomes Res, Stanford, CA 94305 USA

来源：

PEDIATRIC CLINICS OF NORTH AMERICA | 2009年 / 56卷 / 03期

关键词：

Neonatal care; Infant mortality; Neonatal intensive care units; Regional health planning; Health policy; BIRTH-WEIGHT INFANTS; PRETERM DELIVERY; SOUTH-CAROLINA; PERINATAL-CARE; LEVEL; RISK; OUTCOMES; POPULATION; TRANSPORT; VOLUME;

D O I：

10.1016/j.pcl.2009.04.006

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

This article examines the outcome data for very low birth weight infants in low-volume, mid-volume, and high-volume neonatal ICUs (NICUs) and argues for regionalization of NICU services on the basis of both medical outcomes and economic rationality. It recognizes some of the obstacles to regionalization of these services and presents ways to surmount them.

引用

页码：617 / +

页数：15

共 57 条

[1]

[Anonymous], HLTH US 2008

[2]

[Anonymous], 1993, IMPR OUTC PREGN 90S

[3] Managed care, technology adoption, and health care: the adoption of neonatal intensive care [J].