Review badges
0 pre-pub reviews
0 post-pub reviews
Abstract

Background: Marked progress in neonatology changed care of very preterm infants (VLBW) over the last decades - but also the attitude towards family-centred care (FCC). With the directive of the German Federal Joined Committee (G-BA), politicians recognize the necessity of neonatal FCC.Aim: To evaluate time and personnel costs necessary at a centre of established FCC.Methods: ElternberatungyFruhstart is a FCC programme for VLBW and seriously ill neonates from preganancy at risk to follow-up home-visits delivered by one interdisciplinary team. Analysis (2011-2014): 1.) Number of cases /participation in programme, 2.) resources of time, 3) and personnel, 4.) funding, 5) economic impact.Results: 1.1.2011-31.12.2014: 441 cases (total cases: 2212) participated in the programme. Participation of VLBW: mean 92% (86.4-97,2%). Costs of time are highest in neonates with congenital malformations: median 13.8h, VLBW: median 11,2h. Transition to home is most time intensive: median 7,3 (0-42.5) h. In average of 3.1 full-time nurses (part-time workers) are able to counsel 48 families/quarter. In severe cases funding is partly provided by health care insurances for social medical aftercare: positive applications: mean 92.7% (79.6-97.7%).Conclusion: Participation in the FCC programme in neonatology is high and costs of time are manageable.

Authors

Huening, B. M.;  Reimann, M.;  Sahlmen, S.;  Leibold, S.;  Nabring, J. C.;  Felderhoff-Mueser, U.

Publons users who've claimed - I am an author
Contributors on Publons
  • 1 author