title: [Analysis of a Family-centred Care Programme with Follow-up Home-visits in Neonatology - In Times of the Directive from G-BA].
abstract: BACKGROUND
  Marked progress in neonatology changed care of very preterm infants (VLBW) over the last decades - but also the attitude towards family-centred care (FCC). With the directive of the German Federal Joined Committee (G-BA), politicians recognize the necessity of neonatal FCC.
  
  
  OBJECTIVE
  To evaluate time and personnel costs necessary at a centre of established FCC.
  
  
  METHODS
  Elternberatung "Frühstart" is a FCC programme for VLBW and seriously ill neonates from preganancy at risk to follow-up home-visits delivered by one interdisciplinary team. Analysis (2011-2014): 1.) Number of cases /participation in programme, 2.) resources of time, 3) and personnel, 4.) funding, 5) economic impact.
  
  
  RESULTS
  1.1.2011-31.12.2014: 441 cases (total cases: 2 212) participated in the programme. Participation of VLBW: mean 92% (86.4-97,2%). Costs of time are highest in neonates with congenital malformations: median 13.8 h, VLBW: median 11,2 h. Transition to home is most time intensive: median 7,3 (0-42.5) h. In average of 3.1 full-time nurses (part-time workers) are able to counsel 48 families/quarter. In severe cases funding is partly provided by health care insurances for social medical aftercare: positive applications: mean 92.7% (79.6-97.7%).
  
  
  CONCLUSIONS
  Participation in the FCC programme in neonatology is high and costs of time are manageable.
authors.affiliation: Department of Neonatology, University Children's Hospital Essen, Essen.
authors.forename: B M
authors.initials: BM
authors.lastname: Hüning
authors.affiliation: Elternberatung "Frühstart"/Bunter Kreis, University Hospital Essen, Essen.
authors.forename: M
authors.initials: M
authors.lastname: Reimann
authors.affiliation: Elternberatung "Frühstart"/Bunter Kreis, University Hospital Essen, Essen.
authors.forename: S
authors.initials: S
authors.lastname: Sahlmen
authors.affiliation: Elternberatung "Frühstart"/Bunter Kreis, University Hospital Essen, Essen.
authors.forename: S
authors.initials: S
authors.lastname: Leibold
authors.affiliation: University Hospital Controlling, Essen, Essen.
authors.forename: J C
authors.initials: JC
authors.lastname: Nabring
authors.affiliation: Department of Neonatology, University Children's Hospital Essen, Essen.
authors.forename: U
authors.initials: U
authors.lastname: Felderhoff-Müser
mesh_terms: D000013:Congenital Abnormalities / Q000191:economics* / Q000453:epidemiology / Q000451:nursing*; D003362:Cost-Benefit Analysis / Q000706:statistics & numerical data; D004505:Education, Nonprofessional / Q000191:economics / Q000706:statistics & numerical data; D022143:Family Nursing / Q000191:economics* / Q000706:statistics & numerical data; D005260:Female; D005858:Germany; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006295:Health Resources / Q000191:economics / Q000706:statistics & numerical data; D006792:House Calls / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000191:economics* / Q000453:epidemiology / Q000451:nursing*; D019102:Infant, Very Low Birth Weight; D033183:Interdisciplinary Communication; D000070516:Intersectoral Collaboration; D008297:Male; D009313:National Health Programs / Q000191:economics / Q000706:statistics & numerical data