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产前生活方式干预措施以减少妊娠期体重增加:我们应该从哪里开始,花费多少?
Melanie Lloyd1, Yanan Hu2, Emily Callander3
1Health Economics and Policy Evaluation Research Group, Centre for Medicine Use and Safety, Monash University, Parkville, VIC, Australia.
针对高体重指数 (BMI) 的女性进行产前生活方式干预可以最大限度地节省医疗成本. 优先考虑这个高风险群体可以减少不良妊娠结果对预算的整体影响.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 孕产妇健康 孕产妇健康
背景情况:
- 产前生活方式干预有效地减少与过度妊娠体重增加相关的不良结果.
- 虽然具有成本效益,但实施成本可能会阻碍广泛采用.
研究的目的:
- 估计高风险临床群体中针对性产前生活方式干预措施的成本效益.
- 确定是否专注于特定的风险因素 (年龄,BMI,怀孕) 通过减少不良妊娠结果来最大限度地节省健康成本.
主要方法:
- 使用链接的人口级数据进行分配预算影响分析.
- 预计针对高风险子组的总预算支出 (干预成本减去减少不良结果的节省)
- 按卫生系统资金 (公共与私人) 分层分析.
主要成果:
- 对于新南威尔士州和昆士兰州80%的孕妇来说,常规实施的成本超过1160万澳元 (公共) 和650万澳元 (私人).
- 仅针对BMI≥30kg/m2的女性,将支出大幅降低至643,339澳元 (公共) 和579,003澳元 (私人).
- 在BMI≥30kg/m2的群体中,每名妇女避免的不良妊娠结果数量最多.
结论:
- 建议在产前生活方式干预中优先考虑BMI最高的女性.
- 这种有针对性的方法在减少不良妊娠结果对预算的影响方面是有效和具有成本效益的.
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