Assathiany R, Giacobbi V, Sznajder M
Arch Pediatr. 2006 Apr;13(4):336-40. doi: 10.1016/j.arcped.2005.12.015. Epub 2006 Feb 20.
To assess the possibility and time period within which a mother and her newborn can consult a pediatrician after their early discharge from the maternity ward.
In May 2004, 2 investigators presenting themselves as mothers just discharged from the maternity ward, called pediatricians' offices and public infant cliniques (PMI centers) in the Paris metropolitan region, to request appointments.
Of 99 pediatricians' offices contacted, 89 (89%) offered appointments, for an average of 4.4 days later. Of the 93 PMI centers contacted, 55 (59%) offered appointments by telephone, with a mean waiting time of 18 days.
This study, conducted in the spring of 2004 in the Paris metropolitan region, showed that private-practice pediatricians are capable of taking over management of newborns rapidly after early discharge from the maternity ward. It is more difficult to make appointments by telephone with PMI centers, which operate differently, and the delay is substantially longer. We underline that these results observed in a region with a high density of pediatricians and during a favourable period for managing appointments. Further studies are needed in other regions and at different periods. The management of newborns after early discharge from the maternity ward should be actually throught the arising development of health networks.
评估母亲及其新生儿在从产科病房提前出院后咨询儿科医生的可能性及时间段。
2004年5月，两名调查员假扮成刚从产科病房出院的母亲，致电巴黎大区的儿科医生办公室和公共婴儿诊所（母婴保护中心）预约就诊。
在联系的99家儿科医生办公室中，89家（89%）提供了预约，平均等待4.4天。在联系的93家母婴保护中心中，55家（59%）通过电话提供了预约，平均等待时间为18天。
这项于2004年春季在巴黎大区开展的研究表明，私人执业儿科医生能够在新生儿从产科病房提前出院后迅速接手管理工作。通过电话预约母婴保护中心则较为困难，因为其运作方式不同，等待时间也长得多。我们强调，这些结果是在儿科医生密度高的地区以及预约安排较为有利的时期观察到的。其他地区和不同时期还需要进一步研究。产科病房提前出院后新生儿的管理实际上应通过卫生网络的不断发展来实现。
