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Related Concept Videos

Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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Related Experiment Video

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Care pathways for reduced fetal movements: A cost-consequence analysis.

Matthew J Mcknoulty1, Elizabeth K Martin2

  • 1Metro North Health, Queensland Health, University of Queensland, Brisbane, Queensland, Australia.

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|September 27, 2024
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Summary

A new midwife-navigator care pathway for reduced fetal movements was found to be cost-saving. This innovative approach reduced hospital stays without impacting clinical outcomes, offering economic benefits for obstetric units.

Keywords:
costs and costs analysishealth services researchmidwiferyobstetricsstillbirth

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Area of Science:

  • Obstetrics and Gynecology
  • Health Economics
  • Healthcare Management

Background:

  • Reduced fetal movements are a common obstetric concern requiring efficient management.
  • Existing care pathways may not be optimized for cost-effectiveness.
  • Midwife navigators offer a potential solution for streamlining obstetric care.

Purpose of the Study:

  • To evaluate the economic impact and clinical consequences of a midwife-navigator-facilitated care pathway for reduced fetal movements.
  • To assess the cost-effectiveness of this new pathway in an Australian tertiary obstetric center.
  • To model the intervention's costs and consequences for various healthcare settings.

Main Methods:

  • A pre-post implementation study design was used at a tertiary obstetric center.
  • Maternal and neonatal outcomes were analyzed using T-tests and logistic regression.
  • A Markov model estimated costs and consequences, with sensitivity analyses for different service sizes.

Main Results:

  • No significant differences in clinical outcomes were observed between the intervention and usual care groups.
  • The midwife-navigator pathway reduced hospital stay by 1 hour and 8 minutes per patient (P < 0.001).
  • This resulted in annual savings of AU$159,083 for the center, with cost-effectiveness demonstrated for units with >1900 births/annum.

Conclusions:

  • The midwife-navigator care pathway for reduced fetal movements is economically beneficial.
  • This represents a novel, cost-effective strategy for managing common obstetric conditions.
  • Midwife navigators may be a valuable implementation strategy in acute obstetric care settings.