Variations in the quality of care for very-low-birthweight infants: Implications for policy
Variations in the quality of care for very-low-birthweight infants: Implications for policy
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DOI：
10.1377/hlthaff.23.5.88
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发表时间：
2004-09-01
期刊：
影响因子：
9.7
通讯作者：
Horbar, JD
中科院分区：
文献类型：
--
作者：
Rogowski, JA;Staiger, DO;Horbar, JD
过去二十年儿童死亡率的下降很大程度上归因于对极低出生体重婴儿的新生儿重症监护的改善。然而，各医院新生儿重症监护的质量仍然存在巨大且持续的差异。改善目前由预后不良的医院提供服务的婴儿的护理可以大大降低婴儿死亡率，特别是少数族裔婴儿，他们更有可能出生体重极低并由预后不良的医院照顾。将高危分娩转诊至结局最佳的医院是另一个有前景的策略。
Much of the decline in childhood mortality over the past two decades is attributable to improvements in neonatal intensive care for very-low-birthweight infants. Yet large and persistent disparities persist in the quality of neonatal intensive care across hospitals. Improving care for infants now served by hospitals with poor outcomes can greatly reduce infant mortality, particularly among minority infants who are more likely to be very low birthweight and cared for by hospitals with poor outcomes. Referral of high-risk births to hospitals with the best outcomes is another promising strategy.