BMJ. 1989 Jan 21;298(6667):169-72. doi: 10.1136/bmj.298.6667.169.
A survey of referrals for neonatal medical care was conducted by neonatal paediatricians in the United Kingdom from 1 August 1986 to 31 July 1987. It was intended to estimate the unmet need for neonatal medical care and to find out what happens after an attempt to transfer a pregnant woman or a baby has been unsuccessful. A total of 3734 attempts had been made, of which 1646 were for in utero cases and 2088 were for postnatal cases. Nationally, about 9% of attempts to transfer (331) were unsuccessful. In most regions a high proportion of attempts that were eventually successful had taken a considerable amount of time to arrange. It is concluded that despite a twofold increase since 1980 in the number of cots available for neonatal intensive care, arrangements for such provision in the UK are not adequate to meet every request for transfer. No health region in England or country in the UK was able to meet every request immediately, and some regions had great difficulties in arranging even those transfers that had been accepted. Such delays in transfer may lead to appreciable extra morbidity and considerable costs in future.
1986年8月1日至1987年7月31日期间，英国新生儿科医生对新生儿医疗护理转诊情况进行了一项调查。其目的是估计新生儿医疗护理未得到满足的需求，并了解在转移孕妇或婴儿的尝试未成功后会发生什么情况。总共进行了3734次尝试，其中1646次针对子宫内情况，2088次针对出生后情况。在全国范围内，约9%的转移尝试（331次）未成功。在大多数地区，最终成功的转移尝试中有很大一部分需要花费相当长的时间来安排。得出的结论是，尽管自1980年以来用于新生儿重症监护的床位数量增加了一倍，但英国在这方面的安排仍不足以满足每一项转移请求。英格兰的任何一个健康区域或英国的任何一个国家都无法立即满足每一项请求，而且一些地区在安排甚至那些已被接受的转移时都遇到了很大困难。这种转移延迟可能会导致未来明显的额外发病率和相当大的成本。
