Efficiency of Establishing Regional Cure Branch Centers for Critical Neonates / 国际儿科学杂志

ABSTRACT

Objective To explore the efficiency of establishing regional critical neonate cure branch centers in decreasing the mortality of neonates and improving the neonatal emergency technology in the hospitals in primary level.Methods According to the admittance standards,critical neonate cure branch centers were founded in the qualified level II maternal and child health hospitals,meanwhile,a series of measures of quality supervision were adopted.We compared the situation of one year before the foundation of centers with that of after the foundation about the quality index of medical care,scientific research and teaching as well as economic indicator.Results During one year after the establishment of regional critical neonate cure branch centers,the annual amount of the inpatients and critical patients as well as the rescue achievement ratio increased,the annual mortality rate reduced,the rate of passing the new teaching test of asphyxia rescue increased and was above 90% in all centers except one,the incidence of neonatal asphyxia decreased in majority of the centers,both financial income and the capability of scientific research and teaching enhanced.Conclusion The establishment of regional critical neonate cure branch centers is beneficial to improve the provincial central hospital as well as the hospitals in primary level.It utilizes medical resource efficiently,promotes the maternal and child health hospitals in primary level to develop diagnosis and treatment as well as scientific research.The establishment is beneficial to raise the survival rate of the pathological neonate,degrade disability rate of the pathological neonate.The medical cost was expended appropriately,so it is worth to be spread generally according to Chinese situation.