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Salud Publica Mex. 2012;54 Suppl 1:S57-64.

Recommendations to improve healthcare of neonates with respiratory insufficiency beneficiaries of Seguro Popular.

Author information

1
Departamento de Evaluación y Análisis de Medicamentos, Hospital Infantil de México Federico Gómez, México. ljasso@himfg.edu.mx

Abstract

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.

PMID:
22965444
[Indexed for MEDLINE]
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