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Does Making Newborn Follow-up Appointments from the Hospital Improve Compliance?

Journal of Perinatology volume 24, pages 645–649 (2004)Cite this article

Abstract

OBJECTIVE: To test a system of arranging the first newborn follow-up appointments made from the hospital prior to discharge.

METHODS: Prospective randomized study of 328 term healthy newborns divided into control and intervention groups. As there were multiple practices, we checked for clustering in the two groups and then compared them for patient compliance with the first newborn appointment. We also compared the control and intervention groups for compliance with regard to insurance status.

RESULTS: There was difference between the control and intervention group in timeliness for the first appointment (control, 84.9%, intervention group, 94.2%, p=0.0062). There was also improvement in privately insured patients (control 89.1%, intervention 96.5%, p=0.0263), as well as in Medicaid+noninsured patients (control 64.7%, intervention 90.2%, p=0.0245).

DISCUSSION: We conclude that arranging for follow-up appointments from the hospital is a worthwhile inexpensive intervention that could significantly improve patient compliance with the first newborn visit.

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References

  1. AAP Policy Statement “Hospital Stay for Healthy Term Newborns (RE 9539)”. Pediatrics 1995;96:788–790.

  2. Mandl KD, Brennan TA, Wise PH, et al. Maternal and infant health: effects of moderate reduction in postpartum length of stay. Arch Pediatr Adolesc Med 1997;100:72–74.

    Google Scholar 

  3. Maisels MJ, Kring E . Length of stay, jaundice, and hospital readmission. Pediatrics 1998;101:995–998.

    Article  CAS  Google Scholar 

  4. Maisels MJ, Kring E . Early discharge from the newborn nursery — effect on scheduling follow-up visits by pediatricians. Pediatrics 1997;100:72–74.

    Article  CAS  Google Scholar 

  5. Britton HL, Britton JL . Efficacy of early newborn discharge in a middle class population. Am J Dis Child 1984;138:1041–1046.

    CAS  PubMed  Google Scholar 

  6. Greco PJ, Eisenberg JM . Changing physician practices. N Engl J Med 1993;329:1271–1274.

    Article  CAS  Google Scholar 

  7. Ferris TG, Dougherty D, Blumenthal D, Perrin JM . A report card on quality improvement for children's health care. Pediatrics 2000;107:143–155.

    Article  Google Scholar 

  8. Gerowitz MB . Do TQM interventions change management culture? findings and implications. Qual Manag Health Care 1998, 1.

    Article  CAS  Google Scholar 

  9. Feinberg AN, Lowry M, Koelsch RA . Early newborn discharge — a tale of two hospitals. Clin Pediatr 2002;41:99–104.

    Article  Google Scholar 

  10. Feinberg AN, Hicks WB . Quality improvement and patient compliance with appointments. Clin Pediatr 2002;41:515–517.

    Article  Google Scholar 

  11. Feinberg AN, Hicks WB . Patient compliance with the first newborn visit appointment. J Perinatol 2003;23:37–40.

    Article  Google Scholar 

  12. Galbraith AA, Egerter SA, Marchi KS, Chavez G, Braverman PA . Newborn early discharge revisited: are California newborns receiving recommended postnatal services? Pediatrics 2003;111:364–371.

    Article  Google Scholar 

  13. Madden JM, Soumerai SB, Tracy AL, Mandl KD, Zhang F, Ross-Degnan D . Effects of a law against early postpartum discharge of newborn follow-up, adverse events, and HMO expenditures. N Engl J Med 2002;347:2031–2038.

    Article  Google Scholar 

  14. Roethlisberger FJ, Dickson WJ . Management and the Worker. Cambridge, MA: Harvard University Press; 1939.

  15. Mangione-Smith R, McGlynn EA, Elliott MN, Krogstad P, Brook RH . The relationship between perceived parental expectations and pediatrician antimicrobial prescribing behavior. Pediatrics 1999;103:711–718.

    Article  CAS  Google Scholar 

  16. Ertem IO, Votto N, Leventhal JM . The timing and predictors of the early termination of breastfeeding. Pediatrics 2001;107:543–548.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We are thankful to our research assistants Nicole Bohach and Mandy Lentz, statistician Ron Pimentel, MS and to Amy Esman and Cory Edgecomb for secretarial help.

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Authors and Affiliations

  1. Michigan State University College of Human Medicine, Kalamazoo Center for Medical Studies, Kalamazoo, MI, USA

    Arthur N Feinberg MD, Daniel G McAllister MD & Suvankar Majumdar MD

Authors
  1. Arthur N Feinberg MD
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  2. Daniel G McAllister MD
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  3. Suvankar Majumdar MD
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Additional information

This work was supported by a grant from the Bronson Center for Clinical and Community Research.

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Feinberg, A., McAllister, D. & Majumdar, S. Does Making Newborn Follow-up Appointments from the Hospital Improve Compliance?. J Perinatol 24, 645–649 (2004). https://doi.org/10.1038/sj.jp.7211148

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