Pallás-Alonso, Carmen RosaLoureiro, BegoñaDe la Cruz Bértolo, JavierGarcía, PilarGinovart, GemmaJiménez, AnaMartín, YolandaSoriano, JavierTorres, María JoséVento, Máximo2023-01-252023-01-252018-12-14http://hdl.handle.net/10668/13198To describe variations in practice between follow-up programmes for very preterm children born at less than 32 weeks' gestation or with very low birth weight of less than 1,500 g. A survey on follow-up practices was electronically distributed to level II and III units among hospitals of the Spanish National Health Service in 2016. The survey included 70 questions covering issues such as follow-up organisation and resources, routine assessments, relationships with other services and families, information management and training. The response rate was 91.5% (141/154). Among respondents, 70.9% (100/141) reported that they do provide follow-up and 42% do so up to six years of age. Routine neurological and ophthalmological follow-up is not performed in 60% and 37% of hospitals, respectively, and a second hearing assessment is not given in 62%. Just 38% of units have psychologist. In 41% of hospitals, training in follow-up skills is not included in Paediatric Residency training programme. Although Spain has a nationwide health system that provides universal health coverage, we found that follow-up care for children born very preterm/very low birth weight is not equitable. Nearly half of paediatric residents receive no training in follow-up for this high-risk population.enAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/Follow-upHigh-risk childrenQuality of careVery low birth weightVery pretermAftercareChildChild Health ServicesChild, PreschoolCross-Sectional StudiesHealth Care SurveysHumansInfantInfant, Extremely PrematureInfant, NewbornSpainresearch article30447072open access10.1111/apa.146471651-2227PMC7586806https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/apa.14647https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7586806/pdf