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<p>Neonatal emergency care systems ensure the survival of premature and newborn babies who are born outside a&#xa0;birthing facility with associated neonatal care. In many cases, there is a&#xa0;lack of definition, clarification of the organization and clear allocation of funding for these systems. Depending on the location, neonatal emergency doctor systems are financed by the children’s hospitals, in some cases by the payers or, if at all, only by donations. A&#xa0;survey by the Regional Association Baden–Württemberg of German Association of Senior Pediatricians and Pediatric Surgeons (VLKKD) shows the current problems in Baden–Württemberg in terms of provision and logistics, which sometimes result in a&#xa0;significant delay in deployment times. They are based on inadequate legal requirements and a&#xa0;misinterpretation of the Federal Joint Committee’s guideline on quality assurance measures for the care of premature and full-term babies (QFR-RL). The situation in Baden–Württemberg is representative of the provision of emergency medical services to premature and full-term patients in Germany.</p>

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Herausforderungen der rettungsdienstlichen Versorgung früh- und reifgeborener Patienten

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年5月30日

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  • Carsten Bölke,
  • Jochen Riedel,
  • Andreas Staufer

摘要

Neonatal emergency care systems ensure the survival of premature and newborn babies who are born outside a birthing facility with associated neonatal care. In many cases, there is a lack of definition, clarification of the organization and clear allocation of funding for these systems. Depending on the location, neonatal emergency doctor systems are financed by the children’s hospitals, in some cases by the payers or, if at all, only by donations. A survey by the Regional Association Baden–Württemberg of German Association of Senior Pediatricians and Pediatric Surgeons (VLKKD) shows the current problems in Baden–Württemberg in terms of provision and logistics, which sometimes result in a significant delay in deployment times. They are based on inadequate legal requirements and a misinterpretation of the Federal Joint Committee’s guideline on quality assurance measures for the care of premature and full-term babies (QFR-RL). The situation in Baden–Württemberg is representative of the provision of emergency medical services to premature and full-term patients in Germany.