Evidence map›Paper›PMID 35461330›Full record

ReviewJournal of perinatology : official journal of the California Perinatal Association2022

Regionalization of neonatal care: benefits, barriers, and beyond.

Sara C Handley, Scott A Lorch

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of perinatology : official journal of the California Perinatal Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Challenges in implementing optimal perinatal regionalization: a scoping review.Maternal health, neonatology and perinatology · 2026
    Review
  3. Review
  4. Local availability of neonatal intensive care at rural hospitals with childbirth services.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Cardiac biomarkers predict low right ventricle performance in neonatal encephalopathy.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Observational
  11. Article
  12. Article
  13. Article
  14. Toward Iran's health system regionalization: A qualitative approach.Journal of education and health promotion · 2025
    Article
  15. Article
  16. Devaluing babies: neonatal implications of proposed changes in pediatric residency training.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
  17. Advocacy in neonatology: current issues and introduction to the series.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Review
  18. Article
  19. NICUs in the US: levels of acuity, number of beds, and relationships to population factors.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Sara C HandleyDivision of Neonatology, The Children's Hospital of Philadelphia, Philadelphia, PA, United States. handleys@chop.edu.ORCID http://orcid.org/0000-0001-8436-4351
Scott A LorchDivision of Neonatology, The Children's Hospital of Philadelphia, Philadelphia, PA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The goal of regionalization of neonatal care is to improve infant outcomes by directing patients to hospitals where risk-appropriate care is available. Although evidence shows that regionalized, risk-appropriate neonatal care decreases mortality, especially for high-risk infants, the approach and success of regionalization efforts in the U.S. and around the world is highly variable. Barriers to regionalization exist on the patient, provider, hospital, state, and national levels, which highlight potential opportunities to improve regionalization efforts. Improving neonatal regionalized care delivery requires a collaborative approach inclusive of all stakeholders from patients to national professional organizations, expansion and adaptation of current policies, changes to financial incentives, cross-state collaboration, support of national policies, and partnership between neonatal and obstetric communities to promote comprehensive, regionalized perinatal care.

Indexed as

Delivery of Health CarePerinatal CareChildFemaleHospitalsHumansInfant, NewbornPregnancy

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.