昆士兰州孕产妇护理的价值,2012-18,基于对行政数据的分析:一项追溯观察性研究
Emily J Callander1, Joanne C Enticott2, Bonnie Eklom1
1University of Technology Sydney, Sydney, NSW.
The Medical journal of Australia
|November 8, 2023
概括
昆士兰州的孕产妇护理费用在2012年至2018年期间大幅上,并增加了不良分娩结果. 这凸显了孕产妇医疗服务价值差距越来越大.
科学领域:
- 卫生经济学 卫生经济学
- 孕产妇健康 孕产妇健康
- 公共卫生政策 公共卫生政策
背景情况:
- 产妇护理是医疗保健支出的一个重要组成部分.
- 了解医疗保健成本与结果之间的关系对于资源分配和质量改善至关重要.
- 之前的研究并没有全面量化昆士兰州产妇护理的价值.
研究的目的:
- 从2012年到2018年,量化昆士兰州产妇医疗保健的价值.
- 分析产妇护理费用与分娩结果之间的关系.
- 为了确定研究期间成本和结果的趋势.
主要方法:
- 使用昆士兰州链接的行政健康数据集进行的回顾性观察性研究.
- 包括2012年7月1日至2018年6月30日期间在昆士兰州的所有出生.
- 分析每次分娩的产妇护理费用和积极分娩结果的综合测量.
主要成果:
- 在2012年至2018年期间,平均每分娩成本从20471美元增加到30,000美元 (2021-22澳元).
- 每年总产妇护理费用从131亿美元上升到184亿美元.
- 有不良结果的出生比例从27.1%增加到30.5%.
结论:
- 昆士兰州的产妇护理费用大幅增加.
- 与此同时,出生后不良结果的同时增加.
- 迫切需要开展临床合作和改进战略,以提高产妇护理的价值和可持续性.
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