扩大对紧急医疗补助计划的接受者提供全面的怀孕护理:一个成本效益分析
Kimberley A Bullard1, Alyssa Hersh2, Aaron B Caughey2
1Department of Obstetrics and Gynecology, Center for Reproductive Health Equity, Oregon Health & Science University, Portland, OR (Drs Bullard, Hersh, Caughey, and Rodriguez); Department of Obstetrics and Gynecology, University of Tennessee College of Medicine Chattanooga, Chattanooga, TN (Dr Bullard).
将紧急医疗补助计划的产后保险延长到60天是节省成本的. 这一政策改善了健康状况,并防止了低收入移民妇女的意外怀孕.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 孕产妇健康 孕产妇健康
背景情况:
- 紧急医疗补助计划为低收入移民提供有限的福利.
- 覆盖范围的决定会影响健康结果和计划成本.
研究的目的:
- 为了比较两个紧急医疗补助计划怀孕保险策略的成本效益.
- 评估仅限分娩的保险与延长的产后保险 (60天).
主要方法:
- 使用了一个决策分析的马尔科夫模型.
- 从付款人的角度评估结果和成本.
- 在1年和3年内分析了10万名分娩后接受者的理论队列.
主要成果:
- 延长产后保险 (60天) 节省了成本.
- 导致33,900名额外的妇女接受避孕措施,并在第一年预防了7,290例意外怀孕.
- 在第一年实现了1566年质量调整寿命的增长,每QALY为10,903美元,在第三年成为主导.
结论:
- 包括产后护理和避孕措施改善了健康结果.
- 这种扩张降低了在紧急医疗补助计划中的低收入移民妇女的成本.
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