Perinatal care at the threshold of viability; Part I: Systematic analysis of outcomes and resource needs for neonatal intensive care units to inform healthcare planning

Hawlik K, Stanak M
Record ID 32018000200
English
Authors' objectives: The aim of this project was to provide a decision support for resource planning of neonatal intensive care units (NICUs) in Austria. We collected evidence on the clinical outcomes in terms of survival and survival without neurodevelopmental impairment (NDI) of extremely preterm (EP) infants, as well as evidence on the resources needed in NICUs.
Authors' recommendations: The literature review on resource needs concluded that because there is a trend towards improved outcomes of EP infants, ensuring an adequate level of nursing staff was the key challenge. In line with the international literature, ensuring an adequate level of nursing staff to respond to the increased workload was also identified as a key problem shared amongst NICUs in Austria. The current shortage of nursing staff could not only lead to a deterioration of outcomes for patients, but also to closed beds and transfers from one clinic, or region, to another. In order to capture resource needs for the Austrian context, future research would need to analyse primary quantitative data from Austrian perinatal care centres. Data on outcomes, lengths of stay, staffing requirements and applied interventions, would allow planning of resource allocation and cost-budget as well as impact analysis. Regarding quality of care, outcome data of different clinics would give insights into potential centre level differences.
Details
Project Status: Completed
URL for project: https://hta.lbg.ac.at/page/versorgung-fruehgeborener-an-der-grenze-der-lebensfaehigkeit-teil-i-systematische-analyse-zur-planung-des-versorgungsaufwand-zur-fuer-neonatale-intensivstationen-teil-ii-praxismodelle-fuer-ethische-organisatorische-und-soziale-herausforderungen/en
Year Published: 2017
URL for published report: http://eprints.hta.lbg.ac.at/1146/1/HTA-Projektbericht_Nr.97a.pdf
URL for additional information: http://eprints.hta.lbg.ac.at/1146/
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Austria
MeSH Terms
  • Child
  • Female
  • Health Resources
  • Health Services Administration
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Neonatal
  • Perinatal Care
  • Pregnancy
  • Systems Analysis
Contact
Organisation Name: Ludwig Boltzmann Institute for Health Technology Assessment
Contact Address: Ludwig Boltzmann Institute for fuer Health Technology Assessment (LBI-HTA), Garnisongasse 7/rechte Stiege Mezzanin (Top 20), 1090 Vienna, Austria. Tel: +43 1 236 8119 - 0 Fax: +43 1 236 8119 - 99
Contact Name: tarquin.mittermayr@aihta.at
Contact Email: office@aihta.at
Copyright: Ludwig Boltzmann Institut fuer Health Technology Assessment (LBI-HTA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.