TY - JOUR
T1 - The financial burden experienced by families of preterm infants after NICU discharge
AU - Lakshmanan, Ashwini
AU - Song, Ashley Y.
AU - Belfort, Mandy B.
AU - Yieh, Leah
AU - Dukhovny, Dmitry
AU - Friedlich, Philippe S.
AU - Gong, Cynthia L.
N1 - Funding Information:
This study was supported by the Richardson Fund with the Department of Neonatology, Beth Israel Deaconess Medical Center, Boston MA, the Program for Patient Safety and Quality (PPSQ) at Boston Children’s Hospital, Boston, MA, the Medical Staff Organization at Boston Children’s Hospital, Boston, MA, the Confidence Foundation, the Saban Research Award and the Lucile Packard Young Investigator Award for Children with Special Health Care Needs. AL is supported by grants from the Sharon D. Lund Foundation and the Zumberge Diversity and Inclusion Award. The funder/sponsor did not participate in the work.
Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Nature America, Inc.
PY - 2021
Y1 - 2021
N2 - Background and objectives: Describe the financial burden and worry that families of preterm infants experience after discharge from the neonatal intensive care unit (NICU). Methods: We surveyed 365 parents of preterm infants in a cross-sectional study regarding socio-demographics, supplemental security income (SSI), and financial worry. We completed a multivariable logistic regression model to examine the adjusted association of financial worry with modifiable factors. Results: We found that 53% of participants worried about healthcare costs after NICU discharge. After adjusting for socio-demographic and infant characteristics, we identified that, aOR (95% CI), out-of-pocket costs from the NICU index hospitalization, 3.51 (1.7, 7.26) and durable medical equipment use, 2.41 (1.11, 5.23) was associated with increased financial worry while enrollment in SSI, 0.38 (0.19, 0.76) was associated with decreased financial worry. Conclusions: We identified factors that could contribute to financial burden after NICU discharge that may advise future work to target financial support systems.
AB - Background and objectives: Describe the financial burden and worry that families of preterm infants experience after discharge from the neonatal intensive care unit (NICU). Methods: We surveyed 365 parents of preterm infants in a cross-sectional study regarding socio-demographics, supplemental security income (SSI), and financial worry. We completed a multivariable logistic regression model to examine the adjusted association of financial worry with modifiable factors. Results: We found that 53% of participants worried about healthcare costs after NICU discharge. After adjusting for socio-demographic and infant characteristics, we identified that, aOR (95% CI), out-of-pocket costs from the NICU index hospitalization, 3.51 (1.7, 7.26) and durable medical equipment use, 2.41 (1.11, 5.23) was associated with increased financial worry while enrollment in SSI, 0.38 (0.19, 0.76) was associated with decreased financial worry. Conclusions: We identified factors that could contribute to financial burden after NICU discharge that may advise future work to target financial support systems.
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U2 - 10.1038/s41372-021-01213-4
DO - 10.1038/s41372-021-01213-4
M3 - Article
AN - SCOPUS:85115667929
JO - Journal of Perinatology
JF - Journal of Perinatology
SN - 0743-8346
ER -