Analysis of a Family-centred Care Programme with Follow-up Home-visits in Neonatology - In Times of the Directive from G-BA

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. To evaluate time and pers...

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Bibliographic Details
Published in:	Klinische Padiatrie Vol. 228; no. 4; p. 195
Main Authors:	Hüning, B M, Reimann, M, Sahlmen, S, Leibold, S, Nabring, J C, Felderhoff-Müser, U
Format:	Journal Article
Language:	German
Published:	Germany 01-07-2016
Subjects:	Congenital Abnormalities - economics Congenital Abnormalities - epidemiology Congenital Abnormalities - nursing Cost-Benefit Analysis - statistics & numerical data Education, Nonprofessional - economics Education, Nonprofessional - statistics & numerical data Family Nursing - economics Family Nursing - statistics & numerical data Female Germany Health Care Costs - statistics & numerical data Health Resources - economics Health Resources - utilization House Calls - economics House Calls - utilization Humans Infant, Newborn Infant, Premature, Diseases - economics Infant, Premature, Diseases - epidemiology Infant, Premature, Diseases - nursing Infant, Very Low Birth Weight Interdisciplinary Communication Intersectoral Collaboration Male National Health Programs - economics National Health Programs - utilization
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Summary:	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. To evaluate time and personnel costs necessary at a centre of established FCC. Elternberatung "Frühstart" 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. 1.1.2011-31.12.2014: 441 cases (total cases: 2 212) participated in the programme. Participation of VLBW: mean 92% (86.4-97,2%). Costs of time are highest in neonates with congenital malformations: median 13.8 h, VLBW: median 11,2 h. 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%). Participation in the FCC programme in neonatology is high and costs of time are manageable.
ISSN:	1439-3824
DOI:	10.1055/s-0042-102787