Comparison of state risk-appropriate neonatal care policies with the 2012 AAP policy statement
Comparison of state risk-appropriate neonatal care policies with the 2012 AAP policy statement
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DOI：
10.1038/s41372-017-0006-6
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发表时间：
2018-04-01
影响因子：
2.9
通讯作者：
Barfield, Wanda D.
中科院分区：
文献类型：
--
作者：
Kroelinger, Charlan D.;Okoroh, Ekwutosi M.;Barfield, Wanda D.
研究设计对2014年美国各州新生儿护理水平的公共政策进行系统的、基于网络的回顾。婴儿的风险信息，设备的能力，和专业人员编制从公布的规则，法规和regulations.Result二十二个州有一个区域化的围产期保健政策。各州的政策与AAP政策的一致性各不相同，60%的州包括符合I级标准的标准，48%的州符合II级标准，14%的州符合III级标准，一个州符合IV级标准。通气能力标准高度一致（66-100%），其次是成像能力标准（50-90%）。专科人员配置（44-68%），和亚专科人员配置（39-50%）的政策语言是适度consistent.Conclusion国家政策的一致性，一个潜在的重大障碍，监测，监管，统一的护理提供和测量，并报告国家一级的措施，风险适当的护理。
Objective Compare state policies with standards outlined in the 2012 AAP Policy Statement on Levels of Neonatal Care.Study design Systematic, web-based review of publicly available policies on levels of care in all states in 2014. Infant risk information, equipment capabilities, and specialty staffing were abstracted from published rules, statutes, and regulations.Result Twenty-two states had a policy on regionalized perinatal care. State policies vary in consistency with the AAP Policy, with 60% of states including standards consistent with Level I criteria, 48% Level II, 14% Level III, and one state with Level IV. Ventilation capability standards are highly consistent (66-100%), followed by imaging capability standards (50-90%). Policy language on specialty staffing (44-68%), and subspecialty staffing (39-50%) are moderately consistent.Conclusion State policies vary in consistency, a potentially significant barrier to monitoring, regulation, uniform care provision and measurement, and reporting of national-level measures on risk-appropriate care.