Pediatrics, Neonatology and Healthcare

Rising healthcare costs pose a challenge for state-run administrations, payers, and providers in delivering healthcare services. There is immense pressure to provide better quality care while also reducing costs. This has led to a critical review of current practice strategies, including a focus on efficiency and waste reduction. Traditionally, cost reductions in healthcare have been considered separate and sometimes even opposed to the practice of high-quality, patient-centered medicine. However, it is now clear that the provision of evidence-based, locally relevant care can lead to better outcomes, lower resource utilization, and opportunities to reallocate resources.
In the United States, 12% of monthly births are affected by preterm birth, and 3% are affected by congenital anomalies. Both of these conditions are associated with costly healthcare during, and often long after, the neonatal intensive care unit (NICU) stay. In this context, we will discuss how three drivers of clinical practice in neonatal care (evidence-based medicine, evidence-based economics, and quality improvement) can work together to optimize clinical and financial outcomes.

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