Navigation Links
Neonatologists and pediatricians highlight progress and barriers to preemie care
Date:2/19/2008

GAITHERSBURG, MD February 19, 2008 A recent survey of 202 neonatologists and pediatricians, which examined current attitudes and practices when caring for the specialized health needs of preterm infants, revealed that most respondents (70 percent) feel the United States healthcare system does not place enough emphasis on or dedicate enough resources to preventive healthcare for preemies. The survey was sponsored by MedImmune, Inc.

The incidence of preterm birth, when infants are born at less than 36 weeks gestation, has increased steadily in the United States since the mid-1990s. Because these babies lack the usual complement of antibodies, which are supplied by the mother to babies in late gestation, preterm babies are at high risk of getting a host of infectious diseases, including respiratory syncytial virus (RSV), the leading cause of infant respiratory hospitalization in the United States. That risk can be even greater among infants that have an array of complex health problems including immune deficiencies, chronic lung disease, congenital heart disease and neurological disorders.

This survey reminds us that, while progress in preemie healthcare has been made, more still needs to be done to ensure that every preemie, regardless of his or her circumstances, receives the care he or she deserves, said Richard J. Martin, M.D., division chief of neonatology, Rainbow Babies and Childrens Hospital, Cleveland, Ohio.

Additional key survey findings shed light on reasons why premature infants may not receive the specialized care they require:

Preemie care practices differ among doctors with varying levels of experience.

  • More than half (53 percent) of pediatricians with 10 years of experience or less relied on parents to find out if a patient was born prematurely, compared with just 14 percent of pediatricians with 21 plus years of experience. The more experienced pediatricians favored the hospital discharge summary (43 percent) or communication with the childs neonatologist for this information (36 percent).
  • Twenty-one percent of neonatologists with more than 10 years of experience said providing parents with a copy of their childs discharge plan is the most important step when discharging a preemie from the hospital. Only three percent of neonatologists with fewer years of experience named this as the most important step.
  • Most pediatricians (56 percent) with 10 years of experience or less said they stop working with a preemies neonatologist immediately following discharge, whereas most pediatricians (54 percent) with 21 plus years of experience keep working with the neonatologist until their patient is at least three months old.

Late-preterm infants (defined as 34-to-35 weeks gestational age for the purpose of the survey) may not be on their doctors radars because of misconceptions about the risks these babies face.

  • Fifty-eight percent of 34-to-35 week infants are perceived, by their surveyed doctors, as healthy (not at high-risk), even though they are premature and at high risk for RSV disease.

Doctors agree that there are a number of reimbursement and managed-care barriers to effective preemie care.

  • Most physicians (70 percent) feel that the U.S. healthcare system does not dedicate enough emphasis and resources to preventive healthcare for premature infants.
    • Eighty-four percent of these physicians say they are willing to personally advocate for more preventive health services for preemies.
  • Most pediatricians (69 percent) say their office staff spends more time on reimbursement for premature infants than for full-term babies. Seventy-seven percent say they spend more time on reimbursement for premature babies at high risk for serious RSV than for preemies who are not at high risk for serious RSV.

About the Survey

HCD Research, an independent research company, surveyed a random sample of 202 neonatologists and pediatricians from September 5 to 25, 2007. To qualify, respondents had to have spent at least 50 percent of their time in a clinical setting, with neonatologists treating at least three preemies per month and pediatricians treating at least three preemies in the past four months. Respondents with an existing financial relationship with an advertising agency, the U.S. Food and Drug Administration or a market research firm were excluded. No incentive was offered in exchange for respondents participation.

Ninety-seven neonatologists participated in the survey. Thirty-two neonatologists had 10 years of experience or less, 37 neonatologists had between 11 and 20 years of experience, and 28 neonatologists had at least 21 years of experience. A total of 105 pediatricians participated in the survey. Twelve were pediatric pulmonologists and 15 were pediatric cardiologists. Thirty-two pediatricians had 10 years of experience or less, 45 pediatricians had between 11 and 20 years of experience, and 28 pediatricians had at least 21 years of experience.


'/>"/>

Contact: Tor Constantino
301-398-5801
Edelman Public Relations
Source:Eurekalert

Related medicine news :

1. Neonatologists and Pediatricians Highlight Progress and Barriers to Preemie Care
2. Pediatricians call for a cohesive definition of metabolic syndrome in children
3. Pediatricians Group Issues New Autism Guidelines
4. Pediatricians Awarded for Innovative Approaches to Combat Childhood Obesity
5. Parental surveys boost diagnosis abilities of pediatricians
6. Other highlights in the Feb. 12 JNCI
7. Gerontology conferences highlights to include talks on student social networking
8. PCMA: 2008 Health Debate Highlights Workable Solutions Like E-Prescribing
9. CDC Report Highlights the Need for Safe Use and Safekeeping of Medicines
10. Other highlights in the Jan. 8 JNCI
11. January American Naturalist highlights
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/2/2016)... ... ... U.S. Surgeon General, Dr. Vivek Murthy, graces the cover of the print ... to practice medicine at an early age by his father, who was also a ... prescribing medicine,” he states. “It is about building relationships with people; relationships that are ...
(Date:12/2/2016)... (PRWEB) , ... December 02, 2016 , ... ... edition of "Cardiovascular Health" in USA Today, which covers the innovative treatments, therapeutic ... health while maintaining fulfilling lives. “We are prolonging life 6 years in the ...
(Date:12/2/2016)... ... December 02, 2016 , ... Rijuven Corp launches rejiva ( ... day and night. No other wearable health technology on the market can deliver all ... give poeple more meaningful insights about their health than the usual heart rate and ...
(Date:12/2/2016)... ... December 02, 2016 , ... Today ... intelligent, connected applications, was named the best Sales Team of 2016 as part ... was made today by the Software & Information Industry Association (SIIA), the principal ...
(Date:11/30/2016)... ... ... "I hate when the mixture of saliva and toothpaste runs down my ... Bridgewater, N.J. "I thought that there had to be a way to prevent this ... DEFLECTOR to prevent saliva and toothpaste from running down the brush handle onto the ...
Breaking Medicine News(10 mins):
(Date:12/2/2016)... , Dec. 2, 2016 Quantum Radiology,s Mobile ... expert radiologist interpretation directly to women at the workplace, ... corporations, such as Delta Air Lines and SunTrust Bank, ... as a component of wellness initiatives. "I ... SunTrust. It enables them to have a mammogram without ...
(Date:12/2/2016)... , December 2, 2016 ... Awards Committee honored excellence in research, development and innovation ... The gala dinner was held in the presence of ... the Russian Federation , Natalia Sanina, ... Mikhail Murashko , Head of Roszdravnadzor, National Service ...
(Date:12/2/2016)... 2, 2016  Maxor National Pharmacy Services, LLC ("Maxor"), today ... Inc. ("PSI").  The combination of Texas -based ... -based PSI bring together both company,s clinical expertise and high-touch ... an industry-leading specialty pharmacy. About Maxor ... , , ...
Breaking Medicine Technology: