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Measuring the cost-effectiveness of midwife-led versus physician-led intrapartum teams in developing countries.
- Source :
-
Women's health (London, England) [Womens Health (Lond)] 2015 Jul; Vol. 11 (4), pp. 553-64. Date of Electronic Publication: 2015 Aug 10. - Publication Year :
- 2015
-
Abstract
- International agencies have advocated scaling-up of midwifery resources as an important method for improving maternal health and reducing maternal mortality rates (MMR). The cost-effectiveness of midwife-led versus physician-led intrapartum care is an important consideration in the human resource planning required to reduce MMR. Studies suggest that midwife-led teams can achieve comparable effectiveness and outcomes using less medically intensive care compared with physician-led teams. In the absence of adequate medical cost data, decision makers should consider the substantially lower average costs for three main drivers: salaries, benefits and incentives (≥two-times lower); preservice training (three-times lower) and attrition (two-times lower) necessary to deliver intrapartum care at the level of midwife competencies. This suggests that scale-up of midwifery resources is a less expensive and more cost-effective way to reduce MMRs and could potentially increase access to skilled intrapartum care.
- Subjects :
- Cost-Benefit Analysis
Developing Countries
Female
Global Health
Humans
Maternal Mortality
Midwifery education
Models, Econometric
Obstetric Labor Complications economics
Obstetric Labor Complications epidemiology
Perinatal Mortality
Pregnancy
Salaries and Fringe Benefits
Maternal Health Services economics
Midwifery economics
Midwifery statistics & numerical data
Obstetrics economics
Obstetrics statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1745-5065
- Volume :
- 11
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Women's health (London, England)
- Publication Type :
- Academic Journal
- Accession number :
- 26258663
- Full Text :
- https://doi.org/10.2217/WHE.15.18