Regionalization of neonatal care: benefits, barriers, and beyond.

TitleRegionalization of neonatal care: benefits, barriers, and beyond.
Publication TypeJournal Article
Year of Publication2022
AuthorsHandley SC, Lorch SA
JournalJ Perinatol
Date Published2022 Apr 23
ISSN1476-5543
Abstract

The goal of regionalization of neonatal care is to improve infant outcomes by directing patients to hospitals where risk-appropriate care is available. Although evidence shows that regionalized, risk-appropriate neonatal care decreases mortality, especially for high-risk infants, the approach and success of regionalization efforts in the U.S. and around the world is highly variable. Barriers to regionalization exist on the patient, provider, hospital, state, and national levels, which highlight potential opportunities to improve regionalization efforts. Improving neonatal regionalized care delivery requires a collaborative approach inclusive of all stakeholders from patients to national professional organizations, expansion and adaptation of current policies, changes to financial incentives, cross-state collaboration, support of national policies, and partnership between neonatal and obstetric communities to promote comprehensive, regionalized perinatal care.

DOI10.1038/s41372-022-01404-7
Alternate JournalJ Perinatol
PubMed ID35461330