title: Recommendations to improve healthcare of neonates with respiratory insufficiency beneficiaries of Seguro Popular.
abstract: OBJECTIVE
  To evaluate the structure and processes of care of neonatal intensive care units (NICU) providing health care to neonates with respiratory insufficiency, and financed by Seguro Popular.
  
  
  METHODS
  A cross-sectional design was used; 21 NICU were included. Information was collected from four sources: Seguro Popular database, self-applicable interviews to medical staff, structure and processes format, and reviews of clinical charts.
  
  
  METHODS
  structure, processes of care, drug supplies, training, and neonates' clinical conditions.
  
  
  RESULTS
  The analysis of the database included 9 679 newborns. The respiratory disorders were transitory tachypnea, non-specific respiratory insufficiency, respiratory distress syndrome, (RDS) perinatal asphyxia, and meconium aspiration syndrome. 90% of NICU'S directors considered that drug supply was good, whereas only 16% of neonatologist had this opinion. 58.5% of neonates with RDS had <37 gestation weeks. 34.2% with RDS were prescribed alveolar surfactant; 51% received dosages above recommended standards.
  
  
  CONCLUSIONS
  Recommendations to improve infrastructure and care processes are issued.
authors.affiliation: Departamento de Evaluación y Análisis de Medicamentos, Hospital Infantil de México Federico Gómez, México. ljasso@himfg.edu.mx
authors.forename: Luis
authors.initials: L
authors.lastname: Jasso-Gutiérrez
authors.forename: Luis
authors.initials: L
authors.lastname: Durán-Arenas
authors.forename: Samuel
authors.initials: S
authors.lastname: Flores-Huerta
authors.forename: Gabriel
authors.initials: G
authors.lastname: Cortés-Gallo
mesh_terms: D003430:Cross-Sectional Studies; D006801:Humans; D007231:Infant, Newborn; D007348:Insurance, Health; D008800:Mexico; D017410:Practice Guidelines as Topic; D058996:Quality Improvement; D011787:Quality of Health Care; D012131:Respiratory Insufficiency / Q000628:therapy*