{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T19:48:36Z","timestamp":1793389716541,"version":"4.5.0"},"reference-count":121,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Preterm birth remains the leading risk factor for perinatal mortality and morbidity. Infants born preterm miss critical periods of development, placing them at increased risk for a range of neurodevelopmental, motor, and sensory complications. These complex health outcomes are further compounded by biological, behavioral, and social factors, with socioeconomically disadvantaged populations disproportionally affected. As rates of preterm birth rise, and survival improves at increasingly earlier gestational ages, the demand for comprehensive and accessible care for this high-risk population continues to grow.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The Premature Outpatient Clinic at Hospital S\u00e3o Paulo (HSP) addresses this need through free, multidisciplinary healthcare designed to improve developmental outcomes for preterm infants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Through systematic assessment, coordinated follow-up, and early intervention, the clinic aids in the timely diagnosis and appropriate treatment for patients across pediatric specialties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Broader implementation of this model in other regions may help and meet the global need for efficient, equitable care for this growing and vulnerable population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Preterm birth places infants at increased risk for complex health outcomes that require comprehensive and accessible care.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Preterm infants are at elevated risk for many growth complications due to missed critical development, emphasizing the need for timely diagnosis and intervention to improve health outcomes.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>The Premature Outpatient Clinic addresses the need for multidisciplinary healthcare to improve developmental outcomes for preterm infants.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>A free outpatient clinic for preterm infants, integrating multiple specialties under one roof, can reduce healthcare barriers for socioeconomically disadvantaged families.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Preterm infants face unique health outcomes; implementation specialized preterm clinics can make long-term follow-up focused and inclusive.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  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