一个覆盖范围的审查绘制经济评估的助产服务提供和助产员工的助产员工队伍
Boe Calvert1,2, Caroline S E Homer3,4, Sarah Bar-Zeev3,4
1University of Technology, Sydney (School of Nursing and Midwifery), Sydney, Australia. boe.calvert@student.uts.edu.au.
Applied health economics and health policy
|March 20, 2025
概括
经济评估表明,助产服务具有成本效益,但需要更多的研究,特别是在低收入国家. 这凸显了需要更好的数据来支持全球助产员工的需求.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 助产士研究 助产士研究
背景情况:
- 助产士对于全民健康覆盖和可持续发展目标至关重要.
- 全球存在助产士短缺问题,影响了医疗保健的获取.
- 对助产生的经济评估对于明智的决策至关重要.
研究的目的:
- 系统地审查和映射助产服务提供的经济评估.
- 分析全球关于助产士劳动力的经济影响的文献.
- 识别产妇经济研究中的差距.
主要方法:
- 根据乔安娜·布里格斯研究所的方法,进行范围审查.
- 在六个健康数据库中对英语文学 (过去20年) 进行了全面的搜索.
- 包括同行评审的研究和关于经济评估助产士服务和劳动力的论文.
主要成果:
- 包括32项研究,主要来自高收入国家 (26/32).
- 大多数研究 (29/32) 评估了助产服务的提供,通常是助产士领导的模型或低风险妇女的出生地点.
- 大多数研究都得出结论,助产服务是节省成本,成本效益或成本效益的.
结论:
- 低收入和中等收入国家的经济评估存在重大差距.
- 全球需要强有力的经济评估来支持政策决策.
- 基于证据的决策可以解决助产士人力资源短缺问题,并改善对妇女和女童的照顾.
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