Dorling J S, Field D J
Clinical Lecturer in Child Health, Department of Health Sciences, University of Leicester, Robert Kilpatrick Clinical Sciences Building, PO Box 65, Leicester, LE2 7LX, United Kingdom.
Early Hum Dev. 2006 Mar;82(3):151-6. doi: 10.1016/j.earlhumdev.2006.01.006. Epub 2006 Feb 28.
Reviewing high risk infants after discharge to provide ongoing clinical care and to monitor later outcomes is an important role for neonatologists and paediatricians. Clinical need is the primary reason for such follow up but the process does provide additional opportunities, for example collecting information on later outcomes is vital for health care commissioning, and to determine the longer term effects of new medical treatments. Parents welcome the early identification of any problems in their infant and the opportunity for early intervention may improve outcomes in some circumstances. However, depending on the model adopted, follow up can be costly and this expenditure must be justified by considering the benefits obtained.
对出院后的高危婴儿进行复查以提供持续的临床护理并监测后期结局,这是新生儿科医生和儿科医生的一项重要职责。临床需求是进行此类随访的主要原因,但这一过程确实提供了额外的机会,例如收集有关后期结局的信息对于医疗保健规划至关重要,并且有助于确定新医疗治疗的长期效果。家长欢迎尽早发现其婴儿的任何问题,并且在某些情况下,早期干预的机会可能会改善结局。然而,根据所采用的模式,随访可能成本高昂,必须通过考虑所获得的益处来证明这种支出的合理性。