期刊
SEMINARS IN FETAL & NEONATAL MEDICINE
卷 26, 期 1, 页码 -出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.siny.2021.101196
关键词
Outcomes; Variations; Infant; Preterm; International networks; Quality improvement
类别
资金
- Canadian Institutes of Health Research [APR-126340, CTP 87 518]
- Ontario Ministry of Health and Long-Term Care
- National Institute for Health and Welfare (THL)
- Israel Center for Disease Control
- Ministry of Health
- Health Labour Sciences Research Grant from the Ministry of Health, Labour and Welfare of Japan
- Spanish Neonatal Society (SENeo)
- Swedish Government (Ministry of Health and Social Affairs)
- Region Stockholm and Karolinska Institutet [2020-0443]
- Tuscany Region
- Instituto de Investigaci 'on Sanitaria Carlos III (Ministry of Science, Innovation and Universities, Kingdom of Spain) [FIS17/0131]
- ISCIII-Sub-Directorate General for Research Assessment and Promotion [PN 2018-2021]
- European Regional Development Fund (ERDF) [RD16/0022]
Collaboration and cooperation among clinicians and neonatal units are crucial for improving neonatal outcomes. Assessing network performance by comparing outcomes across different centers can help identify areas for improvement and provide useful macro-level evaluations for healthcare professionals and policymakers.
Collaboration and cooperation of clinicians and neonatal units at regional, national, and international levels are key features of many networks or systems that aim to improve neonatal outcomes. Network performance is typically assessed by comparing individual, unit-level outcomes. In this paper, we provide insight into another dimension, i.e., inter-center outcome variation in 10 national/regional neonatal collaborations from 11 high-income countries. We illustrate the use of coefficients of variation for evaluation of mortality and a composite outcome of mortality, severe neurological injury, treated retinopathy of prematurity, and bronchopulmonary dysplasia, as a measure of inter-center variation. These inter-center variation estimates could help to identify areas of opportunities and challenges for each country/region; they also provide macro-level evaluations that can be useful for clinicians, administrators, managers and policy makers.
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