| Título: | Recommendations to improve healthcare of neonates with respiratory insufficiency beneficiaries of Seguro Popular |
| Autores: |
Jasso-Gutiérrez,Luis Durán-Arenas,Luis Flores-Huerta,Samuel Cortés-Gallo,Gabriel |
| Fecha: | 2012-01-01 |
| Publicador: | SCIELO |
| Fuente: |
 |
| Tipo: | journal article |
| Tema: |
neonate respiratory insufficiency respiratory distress syndrome health insurance neonatal intensive care unit quality of care neonatal mortality Mexico |
| Descripción: | OBJECTIVE: To evaluate the structure and processes of care of neonatal intensive care units (NICU) providing health care to neonates with respiratory insufficiency, and financed by Seguro Popular. MATERIALS AND METHODS: A cross-sectional design was used; 21 NICU were included. Information was collected from four sources: Seguro Popular database, self-applicable interviews to medical staff, structure and processes format, and reviews of clinical charts. Variables: structure, processes of care, drug supplies, training, and neonates' clinical conditions. RESULTS: The analysis of the database included 9 679 newborns. The respiratory disorders were transitory tachypnea, non-specific respiratory insufficiency, respiratory distress syndrome, (RDS) perinatal asphyxia, and meconium aspiration syndrome. 90% of NICU'S directors considered that drug supply was good, whereas only 16% of neonatologist had this opinion. 58.5% of neonates with RDS had <37 gestation weeks. 34.2% with RDS were prescribed alveolar surfactant; 51% received dosages above recommended standards. CONCLUSIONS: Recommendations to improve infrastructure and care processes are issued. |
| Idioma: | Inglés |
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