A Cross-Sectional Nationwide Study on Accessibility and Availability of Neonatal care Resources in Hospitals of China: Current Situation, Mortality and Regional Differences

作者：Qiuping Li, Xing Li, Qian Zhang, Yanping Zhang, Ling Liu, Xiuyong Cheng, Bin Yi, Jian Mao, Chao Chen, Shaoru He, Li Liu, Xiaoyu Zhou, Xianmei Lu, Zhenlang Lin, Jun Zheng, Xiao Chen, Shiwen Xia, Yangfang Li, Shaojie Yue, Chao-Ying Yan, Xinzhu Lin, Zhuying Wang, Jun Tang, Yang Wang, Danni Zhong, Li Ma, Yanxiang Chen, Mingxia Li, Hua Mei, Kezhan Liu, Ling Yang, Xiaorong Wang, Hong Wu, Yuan Shi, Zhichun Feng · 发表于：The Lancet Regional Health - Western Pacific · 年份：2021 · DOI：10.1016/j.lanwpc.2021.100212 · 被引用次数：28 · 研究领域：Neonatal Respiratory Health Research、Global Maternal and Child Health、Maternal and Neonatal Healthcare

Background To investigate the current situation of neonatal care resources (NCR), newborn mortality rates (NMR), regional differences and existing challenges in China. Methods By using a self-designed questionnaire form and the cross-sectional method, we conducted a survey of all hospitals equipped with neonatal facilities in China from March 2019 to March 2020 with respect to the level and nature of these hospitals, the number of newborn beds and NICU beds, the number of neonatal pediatricians, and the development of therapeutic techniques. The data about the newborn births and deaths were retrieved from the annual statistics of the health commissions of the related provinces, autonomous regions and municipalities. Finding Included in this nationwide survey were 3,020 hospitals from all 22 provinces, 5 autonomous regions and 4 municipalities directly under the Central Government of Mainland China, with a 100% response rate. They included 1,183 (39.2%) level-3 (L3) hospitals, 1629 (53.9%) L-2 hospitals and 208 (6.9%) L-1 hospitals. Geographically, 848 (31.4%) hospitals were distributed in Central China, 983 (32.5%) hospitals in East China, and 1,089 (36.1%) in West China. The 3,020 included hospitals were altogether equipped with 75,679 newborn beds, with a median of 20 (2-350) beds, of which 2,286 hospitals (75.7%) were equipped with neonatal intensive care units (NICU), totaling 28,076 NICU beds with a median of 5 (1-160) beds. There were altogether 27,698 neonatal pediatri...