通过以中心化为基础的群体产前护理,长期节省成本
Suze Jans1, Xanne Westra1, Matty Crone2
1TNO, Child Health, Sylviusweg 71, 2333 BE, Leiden, the Netherlands.
Midwifery
|September 24, 2023
概括
集体产前护理 (gANC) 提供了比个人护理 (IC) 更好的健康结果,尽管初始成本更高. 通过改善母乳养,降低高血压和减少吸烟的长期节省,抵消了前期投资,使gANC具有成本效益.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健经济学 医疗经济学
- 公共卫生干预 公共卫生干预
背景情况:
- 团体产前护理 (gANC) 集成了日常护理,教育和社区支持,证明了积极的产前结果.
- 荷兰的助产士报告说,与个人护理 (IC) 相比,提供gANC的成本更高.
研究的目的:
- 评估将个人护理 (IC) 替换为团体产前护理 (gANC) 对未来医疗保健成本和健康结果的影响.
- 进行成本效益分析,比较gANC和IC.
主要方法:
- 通过对12894名女性的假设队列进行了探索性成本效益分析.
- 数据来源于荷兰的一项阶段子集群随机对照试验,文献综述和助产士实践调查.
- 衡量的主要结果是与gANC与IC相关的差异性成本和终身直接医疗保健成本.
主要成果:
- 与IC相比,gANC每位参与者增加了45欧元的差异性成本.
- 观察到预计的医疗保健成本节省,这是由于母乳养率的增加,妊娠引起的高血压的降低以及产后吸烟的减少.
- 据估计,gANC的平均净成本节约为每个参与者67欧元.
结论:
- 与IC相比,gANC显示出更好的健康和心理社会结果,尽管它涉及更高的初始提供成本.
- 研究结果表明,gANC的初始较高成本被长期的医疗保健成本节省所抵消.
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