早产儿家庭在离开新生儿重症监护病房后的经济负担。
The financial burden experienced by families of preterm infants after NICU discharge.
机构信息
Fetal and Neonatal Medicine Institute, Division of Neonatal Medicine, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, CA, USA.
出版信息
J Perinatol. 2022 Feb;42(2):223-230. doi: 10.1038/s41372-021-01213-4. Epub 2021 Sep 24.
BACKGROUND AND OBJECTIVES
Describe the financial burden and worry that families of preterm infants experience after discharge from the neonatal intensive care unit (NICU).
METHODS
We surveyed 365 parents of preterm infants in a cross-sectional study regarding socio-demographics, supplemental security income (SSI), and financial worry. We completed a multivariable logistic regression model to examine the adjusted association of financial worry with modifiable factors.
RESULTS
We found that 53% of participants worried about healthcare costs after NICU discharge. After adjusting for socio-demographic and infant characteristics, we identified that, aOR (95% CI), out-of-pocket costs from the NICU index hospitalization, 3.51 (1.7, 7.26) and durable medical equipment use, 2.41 (1.11, 5.23) was associated with increased financial worry while enrollment in SSI, 0.38 (0.19, 0.76) was associated with decreased financial worry.
CONCLUSIONS
We identified factors that could contribute to financial burden after NICU discharge that may advise future work to target financial support systems.
背景与目的
描述早产儿家庭在离开新生儿重症监护病房（NICU）后所面临的经济负担和担忧。
方法
我们通过横断面研究调查了 365 名早产儿的父母，内容包括社会人口统计学、补充保障收入（SSI）和财务担忧。我们完成了多变量逻辑回归模型，以检验财务担忧与可改变因素的调整关联。
结果
我们发现，53%的参与者对 NICU 出院后的医疗费用表示担忧。在调整了社会人口统计学和婴儿特征后，我们发现，NICU 指数住院的自付费用，aOR（95%CI）为 3.51（1.7，7.26），耐用医疗设备的使用，aOR（95%CI）为 2.41（1.11，5.23）与财务担忧增加相关，而 SSI 的参与，aOR（95%CI）为 0.38（0.19，0.76）与财务担忧减少相关。
结论
我们确定了可能导致 NICU 出院后经济负担的因素，这可能为未来的财务支持系统提供目标。
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