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Cost analysis of prenatal care using the activity-based costing model: a pilot study
T Gesse1, S Golembeski, J Potter
1T heresa G esse is an Associate Professor in the School of Nursing at the University of Miami in Coral Gables, Florida.
The Journal of Perinatal Education
|September 5, 2012
Summary
Nurse-midwife activities are the primary cost driver in private practices. The model of care and time spent on activities significantly impact prenatal care expenses.
Area of Science:
- Healthcare Economics
- Maternal Health Services
- Nursing Practice Management
Background:
- Understanding the cost of prenatal care is crucial for healthcare management.
- Private nurse-midwifery practices offer a distinct model of care that warrants economic evaluation.
- Activity-based costing provides a detailed framework for analyzing healthcare expenditures.
Purpose of the Study:
- To examine the cost of prenatal care within a private nurse-midwifery practice.
- To identify the primary cost drivers in this specific healthcare setting.
- To inform future comparative studies on prenatal care models and client education.
Main Methods:
- Utilized an activity-based costing (ABC) system.
- Analyzed the cost components associated with nurse-midwifery care.
- Focused on a pilot study within a private practice setting.
Main Results:
- Nurse-midwife activities were identified as the major cost driver.
- The model of care and time-related activities significantly influence overall costs.
- This pilot study provides foundational data for further economic analysis.
Conclusions:
- The direct involvement and time of nurse-midwives are key determinants of prenatal care costs in private practices.
- Healthcare administrators and policymakers should consider these findings when evaluating maternal care economics.
- Further research comparing different prenatal care models is recommended.
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