Segregation and Inequality of Care in Neonatal Intensive Care Units Is Unacceptable.


Despite significant improvements in the survival of very preterm newborns in neonatal intensive care units (NICUs) over the last decade, significant racial and ethnic disparities exist for very preterm infants.13 While these disparities are rooted in a complex web of factors, a growing body of evidence has documented the role of quality of care in creating disparities. Black and Hispanic very preterm infants are more likely to be born in hospitals with worse outcomes than white infants after adjustment for risk factors, and differences in hospital of birth explain a significant proportion of the black-white and Hispanic-white disparities for these vulnerable infants.2 Additional research has documented that racial and ethnic disparities in quality exist between and within NICUs for very low-birth-weight infants. […]