HOME >> MEDICINE >> NEWS
Dartmouth team finds uneven relationship between newborn intensive care and death rates

Hanover, NH The prevailing wisdom that more physician specialists and hospital specialty services are always better for patients is challenged by Dartmouth Medical School researchers who studied regional differences in newborn intensive care.

Their study, published May 16 in The New England Journal of Medicine, documents a wide regional disparity in the availability of newborn specialists and intensive care nursery beds that correlates poorly with improved survival. It lays the groundwork for reassessing the allocation of resources to improve newborn health and prevent disease and death, and raises questions about the continued growth of specialty medical services in the United States.

The advent of neonatal intensive care servicesthe neonatologists who care for premature and sick newborns and the intensive care nurseries where they are hospitalizedhas dramatically improved the outlook for infants once considered too tiny or ill to survive. The growth in neonatal intensive care, driven by technological and clinical success over the past three decades, continues unabated, while its distribution across the country is more varied than other medical care resources.

Now health analysts and planners are beginning to reassess the ramifications of this growth in medical resources. In particular, they ask: are neonatal resources located where the sick babies are; does a greater supply translate into better outcomes for newborns; will further growth in supply continue to be beneficial?

The answers so far, says David Goodman, MD, associate professor of pediatrics, who led the DMS team, paint a disturbing picture of the landscape of neonatal intensive care. "Supply of neonatologists and intensive care beds is almost idiosyncratic in the way they are located; greater numbers are not found in the regions with more high risk newborns. A few regions of the country appear to be underserved in neonatologists, in that neonatal mortality rates are worse in the ar
'"/>

Contact: Dartmouth Medical School Communications
dms.communications@dartmouth.e
603-650-1492
Dartmouth Medical School
15-May-2002


Page: 1 2 3 4

Related medicine news :

1. Dartmouth researchers find where musical memories are stored in the brain
2. Dartmouth awarded $21.8 million NSF grant
3. Dartmouth Medical School receives $1.6 million in AIDS funding
4. Dartmouth study suggests caution against using certain drugs to unclog heart arteries
5. Dartmouth researchers advance fight against pancreatic cancer
6. Gender and geography increase racial disparities in health care, Dartmouth study shows
7. Dartmouth/VA study questions screening priorities of prostate and colon cancer
8. Dartmouth researcher Michael B. Sporn, M.D. honored for pioneering work in cancer prevention
9. Dartmouth/VA researchers examine news coverage of breast cancer prevention
10. Dartmouth researchers question use of tobacco funds
11. Dartmouth hosts International Ewings Sarcoma Symposium

Post Your Comments:
(Date:4/17/2014)... targets that could be used to provide relief ... London made the discovery when researching how pain ... body. , Dr Marzia Malcangio said: "We have ... and our findings could help chemotherapy patients who ... side effect of some chemotherapy drugs (such as ...
(Date:4/17/2014)... the April issue of Experimental Biology and ... Drs. Rex Gaskins and Paul Kenis in the ... of the University of Illinois Urbana-Champaign describe their ... reactions underlie a variety of cell functions including ... these crucial roles in regulating normal cellular behavior, ...
(Date:4/17/2014)... review published in the April issue of Immunity ... Institute for Medical Research, says it,s time to take ... to treating sepsis, which kills millions worldwide every ... when molecules released into the bloodstream to fight an ... is necessary for maintaining good health without inflammation, ...
(Date:4/17/2014)... 2014U.S. military personnel who served in Iraq and ... brain injury (TBI) were compared to military personnel ... reasons. Differences in measures of overall disability, cognitive ... injury are reported in an article in ... Mary Ann Liebert, Inc., publishers. The article is ...
(Date:4/17/2014)... (April 16, 2014) The cause of neuronal death ... study proposes that neurons may be mistaken for foreign ... similar to the way autoimmune diseases like type I ... cells. The study was published April 16, 2014, in ... and likely controversial, idea in Parkinson,s disease; but if ...
Breaking Medicine News(10 mins):Health News:New pain relief targets discovered 2Health News:Live cell imaging reveals distinct alterations of subcellular glutathione potentials 2Health News:Feinstein Institute researcher publishes new perspective on sepsis 2Health News:Long-term effects of battle-related 'blast plus impact' concussive TBI in US military 2Health News:Is Parkinson's an autoimmune disease? 2
(Date:1/15/2014)... , Jan. 15, 2014 AARP Foundation today announced ... older adults suffering from the severe cold weather that has ... committed to helping those in need; so to support these ... contributions up to $250,000, which could mean up to $500,000 ...
(Date:1/15/2014)... DUBLIN , January 15, 2014 Shire plc ... waived the Office of Fair Trading (OFT) approval condition to the ... Incorporated (NASDAQ: VPHM).   As a result of the ... Shire expects to complete the tender offer on January 24, 2014 ...
(Date:1/15/2014)... GARDENS, Fla. , Jan. 15, 2014  In an unprecedented effort ... and TB in ambulances and other transport vehicles, an advanced and ... by rescue personnel for the first time. In ... contact with these deadly pathogens, West Palm Beach ...
Breaking Medicine Technology:AARP Foundation Establishes Winter Relief Fund for Older Adults Suffering from the Severe Cold Weather 2AARP Foundation Establishes Winter Relief Fund for Older Adults Suffering from the Severe Cold Weather 3Shire Waives OFT Condition Relating to the Acquisition of ViroPharma Inc. 2Shire Waives OFT Condition Relating to the Acquisition of ViroPharma Inc. 3Superbugs No Longer Ride In Rescue Vehicles 2
Cached News: