Decreases in resource use after implementing an interdisciplinary management program for patients with placenta...

Area of Science:

• Obstetrics and Gynecology
• Healthcare Management
• Clinical Resource Utilization

Background:

• Placenta accreta spectrum (PAS) is a condition associated with severe maternal morbidity and high healthcare resource demands.
• Evidence suggests that experienced interdisciplinary teams in specialized centers improve clinical outcomes for PAS patients.
• The economic impact and resource utilization patterns for PAS management require further investigation.

Purpose of the Study:

• To quantify the variation in hospital care resource use following the implementation of an interdisciplinary management program for PAS.
• To assess the impact of a structured management program on resource consumption and its variability in PAS cases.

Main Methods:

• Retrospective analysis of hospital billing data for women diagnosed with PAS between 2011 and 2019.
• Classification of cases into pre-program (Group 1) and post-program (Group 2) implementation periods.
• Inclusion of a third group (Group 3) with intraoperative findings of massive abdominal placenta (MAP) for comparative analysis.

Main Results:

• A mean reduction of 16.5% in resource use per patient was observed after program implementation.
• Significant reduction in resource use variability, with a 55.2% decrease in standard deviation and a 46.3% decrease in the coefficient of variation.
• The interdisciplinary program demonstrated a marked decrease in both the average and the consistency of resource utilization.

Conclusions:

• Interdisciplinary management of PAS in experienced centers is linked to reduced healthcare resource consumption.
• The implementation of a specialized management program effectively decreases resource use variability for PAS patients.
• Optimized, standardized care pathways for PAS can lead to more efficient allocation of health resources.