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  1. Early discharge from the newborn nursery : Effect on scheduling of follow-up visits by pediatricians.

    Article - En anglais

    Objective

    To evaluate the impact of shorter hospital stays on the follow-up scheduling of newborn infants by private pediatricians.

    Design

    Five surveys over a period of 18 months with educational intervention.

    Setting

    Large community hospital well baby nursery.

    Participants

    Twenty private pediatricians who cared for at least 20 newborn infants in the well baby nurseries during 1995.

    Intervention

    Oral and written communications to pediatricians emphasizing the importance of evaluating infants within 2 to 3 days of discharge if the hospital stay was less than 48 hours.

    Main outcome measure

    Interval between discharge from the nursery and the scheduled follow-up visit to the pediatrician.

    Results

    In the first two surveys (September 1994 and March 1995) there was no significant difference in follow-up scheduling by pediatricians for those infants discharged<48 hours vs<48 hours.

    Differences were significant in July and November 1995, and in the final survey in March 1996.

    Nevertheless, in March 1996,38% of short-stay infants were scheduled to be seen 4 or more days after discharge, and 33% 14 days after discharge.

    Conclusion

    Although follow-up practices have changed in response to shorter newborn hospital stays, a significant proportion of pediatricians are not following the American Academy of Pediatrics guidelines for the follow-up of short-stay infants.

    Whether or not failure to follow these guidelines will lead to an increase in morbidity is unknown.

    Mots-clés Pascal : Sortie hôpital, Précoce, Médecin, Pédiatrie, Ordonnancement, Planning consultation, Pratique professionnelle, Nouveau né, Homme, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Hospital discharge, Early, Physician, Pediatrics, Scheduling, Visits planning, Professional practice, Newborn, Human, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0391974

    Code Inist : 002B30A05. Création : 12/09/1997.