亲身主动的基于电话的母乳养同行支持是否是一种成本有效的干预措施? 一个试验内部的成本效益分析"Ringing Up about Breastfeeding earlyY" (RUBY) 随机对照试验
Fiona E McLardie-Hore1,2, Della A Forster3,2, H L McLachlan2,4
1Midwifery and Maternity Services Research, Royal Women's Hospital, Parkville, Victoria, Australia Fiona.McLardieHore@thewomens.org.au.
BMJ open
|June 8, 2023
概括
积极的基于电话的同行支持母乳养干预措施在六个月后显著增加了母乳养率. 这种干预可能具有成本效益,支持其更广泛的实施.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 孕产妇和儿童的健康
背景情况:
- 试验"提醒早期母乳养" (RUBY) 证明了母乳养结果的改善.
- 评估干预措施的成本效益对于医疗保健资源分配至关重要.
研究的目的:
- 评估主动电话同行支持母乳养干预措施的成本效益.
- 为了确定RUBY干预的增量成本效益比率 (ICER).
主要方法:
- 在试验中进行了成本效益分析.
- 在6个月内收集了有关医疗保健成本,母乳养支持和干预成本的数据.
- 参与者包括澳大利亚三个产妇服务机构的首次母亲 (n=1152) 和同龄志愿者 (n=246).
主要成果:
- 干预成本为每位受支持的母亲263.75美元 (或不包括志愿者时间的90.33美元).
- 干预组和通常护理组之间没有观察到医疗保健成本的显著差异.
- 在6个月后,ICER为每位额外母乳养的母亲4146美元 (1393美元不包括志愿者时间).
结论:
- 鉴于母乳养率的显著改善,RUBY母乳养干预表明了潜在的成本效益.
- 参与者和志愿者的积极接待支持了这种同行支持模式的可扩展性和实施.
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