乡村服务分娩与澳大利亚第一民族的标准护理相比:从卫生系统的角度分析成本效益
Yu Gao1,2, Yvette Roe1,2, Sophie Hickey1,2
1Molly Wardaguga Research Centre, Faculty of Health, Charles Darwin University, Brisbane City, Queensland, 4000, Australia.
The Lancet regional health. Western Pacific
|June 7, 2023
概括
我们社区的分娩 (BiOC) 服务显著减少了早产,并为澳大利亚的原住民家庭节省了成本. 这种社区主导的护理模式是标准护理的经济有效替代方案.
科学领域:
- 孕产妇和儿童的健康
- 卫生经济学 卫生经济学
- 土著健康土著健康
背景情况:
- 过早分娩是婴儿死亡的主要原因,澳大利亚的第一民族婴儿面临不成比例的更高的比例.
- 我们社区的分娩 (BiOC) 服务是为了解决这种差异而实施的,并且在减少早产方面显示出有前途.
研究的目的:
- 评估与标准护理相比BiOC服务在减少第一民族家庭中早产的成本效益.
- 从卫生系统的角度分析医疗保健的直接成本.
主要方法:
- 在布里斯班的Mater Mothers公立医院进行了一项比较研究,涉及到第一民族的母亲和婴儿.
- 从2013年1月到2019年6月,收集了关于产前,分娩,产后和新生儿护理费用的数据.
- 使用治疗权重的逆概率来调整BiOC和标准护理组之间的差异.
主要成果:
- 与标准护理相比,BiOC服务与早产率减少5.34%有关.
- BiOC服务为每位母婴双人节省了4,810澳元的成本.
- 这些发现表明,使用BiOC服务的结果更好,成本更低.
结论:
- 该BIOC服务提供了一种具有成本效益的策略,用于减少澳大利亚第一民族人口的早产.
- 节省成本的原因是减少了干预,手术和新生儿入院.
- 投资于社区主导的综合护理模式可以改善健康结果,同时降低成本.
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