教育和支持小组干预措施的成本效益,旨在促进母乳养
Ifigeneia Mavranezouli1, Sharangini Rajesh2, Shalmali Deshpande2
1Research Department of Clinical, Educational & Health Psychology, University College London, London, United Kingdom.
European journal of public health
|September 30, 2025
概括
群体母乳养干预措施具有成本效益,节省资金并改善英格兰母亲和婴儿的健康. 这些计划促进母乳养,导致婴儿感染和母乳癌病例减少.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 孕产妇和儿童的健康
背景情况:
- 在高收入国家,尽管已知的健康益处,但母乳养率低.
- 关于母乳养支持干预措施的成本效益的证据有限.
研究的目的:
- 评估英格兰基于群体的母乳养干预措施的成本效益.
- 从国家卫生服务 (NHS) 和个人社会服务 (PSS) 的角度评估干预措施.
主要方法:
- 决策分析建模用于估计成本,临床益处和经质量调整的寿命年 (QALY).
- 随机对照试验对干预有效性的系统审查和元回归.
- 利用已发表的元分析和国家统计数据来了解母乳养的好处和模型投入.
主要成果:
- 集体母乳养干预导致每母婴二月节省89英的成本.
- 干预措施导致婴儿感染和死亡减少,并减少了母亲乳腺癌病例.
- 增加的母乳养率产生了更高的QALY (0.004每母婴双).
结论:
- 在英格兰,以小组为基础的母乳养干预措施可能具有成本效益.
- 这些干预措施提供教育,咨询和支持,有效地促进母乳养.
- 需要进一步研究社会经济群体之间的差异影响和更广泛的临床益处.
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