دورية أكاديمية
A cost analysis of upscaling access to continuity of midwifery carer: Population-based microsimulation in Queensland, Australia.
| العنوان: | A cost analysis of upscaling access to continuity of midwifery carer: Population-based microsimulation in Queensland, Australia. |
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| المؤلفون: | Hu Y; Faculty of Medicine, Monash Centre for Health Research and Implementation, Nursing and Health Sciences, Monash University, Melbourne, Australia., Gamble J; Research Centre for Healthcare and Communities, Coventry University, Coventry, United Kingdom; School of Nursing and Midwifery, Griffith University, Gold Coast, Australia., Allen J; Faculty of Medicine, Monash Centre for Health Research and Implementation, Nursing and Health Sciences, Monash University, Melbourne, Australia; Molly Wardaguga Research Centre, Charles Darwin University, Brisbane, Australia., Creedy DK; School of Nursing and Midwifery, Griffith University, Gold Coast, Australia., Toohill J; School of Nursing and Midwifery, Griffith University, Gold Coast, Australia; Clinical Excellence Division, Queensland Health, Queensland, Australia., Callander E; School of Public Health, University of Technology Sydney, Sydney, Australia. Electronic address: Emily.Callander@uts.edu.au. |
| المصدر: | Midwifery [Midwifery] 2024 Jun; Vol. 133, pp. 103998. Date of Electronic Publication: 2024 Apr 12. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Churchill Livingstone Country of Publication: Scotland NLM ID: 8510930 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-3099 (Electronic) Linking ISSN: 02666138 NLM ISO Abbreviation: Midwifery Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Edinburgh ; New York : Churchill Livingstone, 1985- |
| مواضيع طبية MeSH: | Continuity of Patient Care*/economics , Continuity of Patient Care*/statistics & numerical data , Continuity of Patient Care*/standards , Health Services Accessibility*/statistics & numerical data , Health Services Accessibility*/economics , Health Services Accessibility*/standards, Humans ; Queensland ; Female ; Pregnancy ; Adult ; Costs and Cost Analysis ; Midwifery/economics ; Midwifery/statistics & numerical data ; Maternal Health Services/economics ; Maternal Health Services/statistics & numerical data ; Computer Simulation |
| مستخلص: | Objective: To quantify the economic impact of upscaling access to continuity of midwifery carer, compared with current standard maternity care, from the perspective of the public health care system. Methods: We created a static microsimulation model based on a whole-of-population linked administrative data set containing all public hospital births in one Australian state (Queensland) between July 2017 to June 2018 (n = 37,701). This model was weighted to represent projected State-level births between July 2023 and June 2031. Woman and infant health service costs (inpatient, outpatient and emergency department) during pregnancy and birth were summed. The base model represented current standard maternity care and a counterfactual model represented two hypothetical scenarios where 50 % or 65 % of women giving birth would access continuity of midwifery carer. Costs were reported in 2021/22 AUD. Results: The estimated cost savings to Queensland public hospital funders per pregnancy were $336 in 2023/24 and $546 with 50 % access. With 65 % access, the cost savings were estimated to be $534 per pregnancy in 2023/24 and $839 in 2030/31. A total State-level annual cost saving of $12 million in 2023/24 and $19 million in 2030/31 was estimated with 50 % access. With 65 % access, total State-level annual cost savings were estimated to be $19 million in 2023/24 and $30 million in 2030/31. Conclusion: Enabling most childbearing women in Australia to access continuity of midwifery carer would realise significant cost savings for the public health care system by reducing the rate of operative birth. Competing Interests: Declaration of competing interest We have no conflict of interest to declare. (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Birth; Cost; Economic impact, continuity of midwifery carer; Models of care; Pregnancy |
| تواريخ الأحداث: | Date Created: 20240414 Date Completed: 20240601 Latest Revision: 20240601 |
| رمز التحديث: | 20240602 |
| DOI: | 10.1016/j.midw.2024.103998 |
| PMID: | 38615374 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1532-3099 |
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| DOI: | 10.1016/j.midw.2024.103998 |