产妇设置的成本和成本效益:一个系统的审查
Vanessa Scarf1, Habtamu Kasaye2,3, Kate Levett2,4,5
1Collective for Midwifery, Child and Family Health, School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia. Vanessa.Scarf@uts.edu.au.
Applied health economics and health policy
|April 2, 2025
概括
家庭和助产士领导的分娩单位 (MLBU) 通常比医院分娩更便宜,并且可能比低风险怀孕更有效. 这些环境提供了负担得起的,安全的分娩选择,支持可持续发展目标.
科学领域:
- 孕产妇健康 孕产妇健康
- 卫生经济学 卫生经济学
- 系统审查是系统的审查.
背景情况:
- 安全和负担得起的分娩对于可持续发展目标,特别是目标3至关重要.
- 本系统性审查审查了低风险怀孕中各种分娩设置的成本和成本效益.
研究的目的:
- 综合有关医院,分娩中心和家庭分娩经济评估的证据.
- 评估高,中,低收入国家的不同出生环境的成本效益.
主要方法:
- 对成本和经济评估研究的系统审查.
- 在多个数据库 (Medline,CINAHL,Embase,Scopus,Google Scholar) 和灰色文献中进行了搜索.
- 由于高异质性的叙事综合;使用Joanna Briggs研究所的检查清单进行评估研究.
主要成果:
- 包括11项研究 (13个国家记录);分析了家庭分娩,助产士领导的分娩单位 (MLBU) 和医院的成本和成本效益.
- 在大多数研究中,MLBU和家庭分娩的成本低于医院分娩.
- 成本效益因场景和国家而异;MLBU在巴基斯坦和乌干达显示出混合的结果,但在孟加拉国和比利时具有特定结果的成本效益.
结论:
- 在MLBU和家庭分娩通常比医院分娩更便宜.
- 这些设置提供了潜在的具有成本效益的选择,减少了干预和有利的结果,特别是在高收入国家.
- 在低收入和中等收入国家,MLBU和家庭分娩可以为熟练的从业者提供负担得起的分娩选择.
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