Factors associated with the discontinuance of outpatient follow-up in neonatal units

Rev Bras Enferm. 2020 Apr 9;73(3):e20180793. doi: 10.1590/0034-7167-2018-0793. eCollection 2020.
[Article in English, Portuguese]

Abstract

Objectives: to identify predisposing and enabling factors as well as the health needs associated with the discontinuance of outpatient follow-up of newborns who were hospitalized at neonatal intensive care unit.

Methods: cross-sectional study, using the behavioral model of health services use. The study was composed of 358 mothers and newborns referred to the outpatient follow-up after discharge. Characterization, perception of social support, postnatal depression, and attendance to appointments data were collected, analyzed by the R software (3.3.1).

Results: outpatient follow-up was discontinued by 31.28% of children in the first year after discharge. In multiple regression analysis, the chance of discontinuance was higher for newborns who used mechanical ventilation (OR = 1.68; 95%CI 1.04-2.72) and depended on technology (OR = 3.54; 95%CI 1.32-9.5).

Conclusions: predisposing factors were associated with the discontinuance of follow-up; enabling factors and health needs did not present a significant association. Children with more complex health conditions require additional support to participate in follow-up programs, thus ensuring the continuity of care.

MeSH terms

  • Adolescent
  • Adult
  • Aftercare / methods*
  • Ambulatory Care / methods*
  • Ambulatory Care / standards
  • Brazil
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Intensive Care Units, Neonatal / organization & administration
  • Male
  • Regression Analysis
  • Social Support