Centro Nazionale per la Prevenzione delle Malattie e Promozione della Salute, Istituto Superiore di Sanità, Rome, Italy - Facoltà Dipartimentale di Medicina, Saint Camillus International University of Health and Medical Sciences (UniCamillus), Rome, Italy.
Italian National Committee for UNICEF, Rome, Italy.
Ann Ist Super Sanita. 2020 Apr-Jun;56(2):142-149. doi: 10.4415/ANN_20_02_03.
We aimed to evaluate the contents of the neonatal discharge summary (NDS), an important communication tool that should contain evidence-based information.
A quali-quantitative study of NDSs delivered from 29 hospitals of Lazio (Italy) in 2014 and 2017 was conducted. We used content analysis to assess the written information and logistic regression to estimate the association between outcomes (compliance with the International Code, health messages, and information on neonatal screenings) and some hospital's characteristics.
NDSs conforming to International Code were associated with low rate of C-section (p < 0.05). Hospitals belonging to Local Health Authorities (p < 0.05) and with a lower prevalence of C-section (p < 0.05) had a greater attitude to promote infant health. The year of collection was associated with information on neonatal screenings (p < 0.05).
An effort is required by hospitals to reduce their level of medicalization, in clinical practice and prescriptive attitudes, which affects the NDSs delivered to parents.
我们旨在评估新生儿出院小结（NDS）的内容，这是一种重要的沟通工具，应包含基于证据的信息。
对 2014 年和 2017 年来自意大利拉齐奥地区 29 家医院的 NDS 进行了一项定性-定量研究。我们使用内容分析法评估书面信息，并使用逻辑回归估计结果（符合国际准则、健康信息和新生儿筛查信息）与一些医院特征之间的关联。
符合国际准则的 NDS 与剖宫产率较低相关（p<0.05）。属于地方卫生当局的医院（p<0.05）和剖宫产率较低的医院（p<0.05）更倾向于促进婴儿健康。采集年份与新生儿筛查信息相关（p<0.05）。
医院需要努力减少临床实践和处方态度中的医疗化程度，这会影响向家长提供的 NDS。
