预防怀孕期间的驱逐:对理论安全网计划的成本效益分析
Ava Mandelbaum1, Sarah Dzubay1, Sarina R Chaiken1
1Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR.
American journal of obstetrics and gynecology
|June 17, 2023
概括
通过租金支持防止怀孕期间的驱逐是具有成本效益的,减少了早产和新生儿死亡等不良分娩结果. 当租金低于每月1016美元时,这种策略可以节省成本,改善围产期健康.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 围产儿医学 围产儿医学
背景情况:
- 怀孕期间的驱逐与负面的出生结果有关.
- 租金援助计划可以减轻这些不利影响.
- 了解防止驱逐的经济影响至关重要.
研究的目的:
- 评估一项旨在防止孕妇被驱逐的房租保险计划的成本效益.
- 为了比较驱逐的社会成本和健康结果与怀孕期间没有驱逐的情况.
主要方法:
- 使用TreeAge软件开发了一个成本效益模型.
- 分析了社会成本,包括住房费用和与不良出生结果 (早产,新生儿死亡,神经发育迟缓) 相关的成本.
- 租金,出生结果和质量调整后生命年 (QALYs) 的数据来自文学和2021年美国人口普查数据.
主要成果:
- 与驱逐相比",不驱逐"战略占主导地位,与较少的不良分娩结果和增加的QALYs有关.
- "不驱逐"策略导致美国中位数租金的总体成本下降.
- 敏感性分析证实"不驱逐"是具有成本效益的,当月租金低于1016美元时,变得节省成本.
结论:
- 预防怀孕期间的驱逐是一个具有成本效益的策略,可以改善围产期健康结果.
- 面临驱逐风险的孕妇租金保险政策可以减少医疗保健成本和差异.
- 实施租金援助的社会计划显示出改善母亲和婴儿健康的巨大潜力.
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