Seven years later: state neonatal risk-appropriate care policy consistency with the 2012 American Academy of Pediatrics Policy.

Seven years later: state neonatal risk-appropriate care policy consistency with the 2012 American Academy of Pediatrics Policy.
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DOI:
10.1038/s41372-021-01146-y
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发表时间:
2022-05
影响因子:
2.9
通讯作者:
Barfield, Wanda D.
Barfield, Wanda D.
中科院分区:
医学3区
文献类型:
--
作者:
Kroelinger, Charlan D.;Rice, Marion E.;Okoroh, Ekwutosi M.;DeSisto, Carla L.;Barfield, Wanda D.

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评估国家新生儿风险适当的护理政策与2012年AAP政策的一致性。对所有公开的2019年国家新生儿护理政策水平进行系统的网络审查。提取有关婴儿风险(胎龄、出生体重)、技术和设备能力以及用于定义新生儿护理水平的专业人员的可用性的信息进行审查。一半的州(50%)制定了新生儿风险适当的护理政策。在这些州中,88%的语言符合AAP定义的一级标准,80%符合二级标准,56%符合三级标准,55%符合四级标准。比较政策(2014-2019年),各级护理的国家政策一致性增加,四级标准增加最多。各州改善了各级护理政策语言的一致性,尽管有一半的州仍然缺乏为最脆弱的婴儿提供最低标准护理的政策。
To assess consistency of state neonatal risk-appropriate care policies with the 2012 AAP policy seven years post-publication. Systematic, web-based review of all publicly available 2019 state neonatal levels of care policies. Information on infant risk (gestational age, birth weight), technology and equipment capabilities, and availability of specialty staffing used to define neonatal levels of care was extracted for review. Half of states (50%) had a neonatal risk-appropriate care policy. Of those states, 88% had language consistent with AAP-defined Level I criteria, 80% with Level II, 56% with Level III, and 55% with Level IV. Comparing policies (2014–2019), consistency increased in state policies among all levels of care with the greatest increase among level IV criteria. States improved consistency of policy language by each level of care, though half of states still lack policy to provide minimum standards of care to the most vulnerable infants.
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通讯作者: Barfield, Wanda D.