Spanish survey on follow-up programmes for children born very preterm
Por:
Pallas-Alonso, CR, Loureiro, B, Bertolo, JD, Garcia, P, Ginovart, G, Jimenez, A, Martin, Y, Soriano, J, Torres, MJ, Vento, M
Publicada:
1 jun 2019
Resumen:
Aim To describe variations in practice between follow-up programmes for very preterm children born at less than 32 weeks' gestation or with very low birth weight of less than 1,500 g. Methods A survey on follow-up practices was electronically distributed to level II and III units among hospitals of the Spanish National Health Service in 2016. The survey included 70 questions covering issues such as follow-up organisation and resources, routine assessments, relationships with other services and families, information management and training. Results The response rate was 91.5% (141/154). Among respondents, 70.9% (100/141) reported that they do provide follow-up and 42% do so up to six years of age. Routine neurological and ophthalmological follow-up is not performed in 60% and 37% of hospitals, respectively, and a second hearing assessment is not given in 62%. Just 38% of units have psychologist. In 41% of hospitals, training in follow-up skills is not included in Paediatric Residency training programme. Conclusion Although Spain has a nationwide health system that provides universal health coverage, we found that follow-up care for children born very preterm/very low birth weight is not equitable. Nearly half of paediatric residents receive no training in follow-up for this high-risk population.
Filiaciones:
Pallas-Alonso, CR:
Univ Complutense, Univ Hosp 12 Octubre, Hlth Res Inst I12, Div Neonatol, Madrid, Spain
Loureiro, B:
Univ Hosp Cruces, Div Neonatol, Plaza Cruces S-N, Baracaldo 48903, Vizcaya, Spain
Bertolo, JD:
Univ Complutense, Univ Hosp 12 Octubre, Hlth Res Inst I12, Div Neonatol, Madrid, Spain
Garcia, P:
Univ Hosp Salamanca, Div Neonatol, Salamanca, Spain
Ginovart, G:
Hosp Santa Creu & Sant Pau, Div Neonatol, Barcelona, Spain
Jimenez, A:
Hosp Algeciras, Div Neonatol, Cadiz, Spain
Martin, Y:
Hlth Care Ctr Goya, Madrid, Spain
Soriano, J:
Hlth Care Ctr Fuensanta, Valencia, Spain
Torres, MJ:
Univ Hosp 12 Octubre, Div Neonatol, Madrid, Spain
Vento, M:
Univ & Polytech Hosp La Fe, Div Neonatol, Valencia, Spain
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