Division of Newborn Medicine, Harvard Medical School, Boston, Massachusetts, USA; Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Department of Pediatrics - Neonatal and Developmental Medicine, Stanford University School of Medicine, Stanford, California, USA; Health Economics Resource Center, Veterans Affairs Palo Alto Healthcare System, Menlo Park, California, USA.
Semin Perinatol. 2020 Jun;44(4):151241. doi: 10.1016/j.semperi.2020.151241. Epub 2020 Mar 13.
Regionalization, which emphasizes matching patient needs with the capabilities of the hospital in which care is provided, has long been a recommended approach to reducing neonatal morbidity and mortality. Over the past decade, research methods surrounding the measurement and evaluation of such programs have improved, thus strengthening arguments for implementation of these strategies. However, regionalization policies vary widely across regions and between countries, with potential impacts on neonatal outcomes as well as costs of care. It is important to account for geographic and other regional differences when determining the feasibility of regionalization for a specific region, as certain areas and populations may need particular consideration in order for regionalization policies to be successful.
区域化强调根据患者的需求和提供医疗服务的医院的能力来匹配，长期以来一直是减少新生儿发病率和死亡率的推荐方法。在过去的十年中，围绕这些计划的测量和评估的研究方法已经得到了改进，从而为实施这些策略提供了更有力的论据。然而，区域化政策在不同地区和国家之间存在很大差异，这可能对新生儿结局以及护理成本产生影响。在确定特定地区区域化的可行性时，考虑地理和其他区域差异非常重要，因为某些地区和人群可能需要特别考虑，以便区域化政策取得成功。
