Programmatic and Administrative Barriers to High-Risk Infant Follow-Up Care

Am J Perinatol. 2018 Aug;35(10):940-945. doi: 10.1055/s-0038-1629899. Epub 2018 Feb 13.

Abstract

Objective: This article characterizes programmatic features of a population-based network of high-risk infant follow-up programs and identifies potential challenges associated with attendance from the providers' perspective.

Study design: A web-based survey of high-risk infant follow-up program directors, coordinators, and providers of a statewide high-risk infant follow-up system. Frequencies and percentages were used to describe the survey responses.

Results: Of the 68 high-risk infant follow-up programs in California, 56 (82%) responded to the survey. The first visit no-show rate between 10 and 30% was estimated by 44% of programs with higher no-show rates for subsequent visits. Common strategies to remind families of appointments were phone calls and mailings. Most programs (54%) did not have a strategy to help families who lived distant to the high-risk infant follow-up clinic.

Conclusion: High-risk infant follow-up programs may lack resources and effective strategies to enhance follow-up, particularly for those living at a distance.

MeSH terms

  • Appointments and Schedules*
  • California
  • Continuity of Patient Care / organization & administration*
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Premature, Diseases / therapy
  • Male
  • Patient Compliance / statistics & numerical data*
  • Reminder Systems*