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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 65 - 72 (8page)
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Purpose: To identify the recent status of the neonatologist and their workload in neonatal intensive care unit (NICU) in Korea. Methods: On October 2018, a survey was conducted on the statistics of the workforce including the census of certified neonatologists, NICU beds, nursing staffing ratings, bed occupancy rate, annual admission of very low birth weight infant (VLBWI), infant acuity score of nursing, and the proportion of out-born patients. The level of neonatal care was self-rated. Results: A total of 68 centers responded to the survey. An average number of certified neonatologists and the number of NICU beds per center was 1.9 (range, 0 to 5) and 23.1 (range, 0 to 30), respectively. Thirty-eight percent (n=26) of NICUs were being operated with only one (n=24) or no (n=2) certified neonatologist and only 19% (n=13) of NICUs had ≥3 neonatologists. The average ratio of NICU beds to neonatologists rated 13.4±6.2. The higher the level of neonatal care, the higher the number of tertiary referral hospitals, neonatologists, NICU volume, infant acuity scores of nursing, and annual VLBWI admissions. However, there was no difference in the beds to neonatologist ratio between level 2 (n=9, 9.5±3.1), level 3 (n=44, 14.0± 6.9), and level 4 (n=14, 13.7±4.2). The infant acuity score was proportional to the NICU volumes, but not related to the beds to neonatologist ratio. Conclusion: Compared with the international standards, most Korean NICUs were understaffed in terms of the certified neonatologist and were unable to provide ‘continuity of care’ for high-risk newborns.
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참고문헌 (36)
참고문헌 신청
Harrison W / 2015 / Epidemiologic trends in neonatal intensive care, 2007-2012 / JAMA Pediatr 169:855~862
Shin SM / 1996 / A survey on the current status of neonatal intensive care units for the planning of regional perinatal care system in Korea / J Korean Soc Neonatol 3:1~8
Han YJ / 1999 / Low birth weight outcomes and policy issues in Korea
Shin SM / 2006 / Current status and a prospect of neonatal intensive care units in Korea / J Korean Med Assoc 49:983~989
신손문 / 2008 / 한국에서 신생아 중환자실의 현황 / Clinical and Experimental Pediatrics 51(3):243~247
Shin SM / 1996 / A survey on the current status of neonatal intensive care units for the planning of regional perinatal care system in Korea / J Korean Soc Neonatol 3:1~8
Han YJ / 1999 / Low birth weight outcomes and policy issues in Korea
Shin SM / 2006 / Current status and a prospect of neonatal intensive care units in Korea / J Korean Med Assoc 49:983~989
신손문 / 2008 / 한국에서 신생아 중환자실의 현황 / Clinical and Experimental Pediatrics 51(3):243~247
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