The cost-effectiveness of home birth

被引:25
|
作者
Anderson, RE [1 ]
Anderson, DA [1 ]
机构
[1] Ctr Coll Danville, Dept Econ, Danville, KY 40422 USA
来源
JOURNAL OF NURSE-MIDWIFERY | 1999年 / 44卷 / 01期
关键词
D O I
10.1016/S0091-2182(98)00072-X
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
As health care costs increase and a growing number of women are without insurance, the one health service that every family needs deserves further attention. Even for the 40% of births covered by Medicaid, safe birthing alternatives that permit a reduction in the $150 billion Medicaid burden would allow the United States to devote more resources to other urgent priorities. Informed birthing decisions cannot be made without information on costs, success rates, and any necessary tradeoffs between the two. This article provides the relevant information for hospital, home, and birth center births. The average uncomplicated vaginal birth costs 68% less in a home than in a hospital, and births initiated in the home offer a lower combined rate of intrapartum and neonatal mortality and a lower incidence of cesarean delivery. (C) 1999 by the American College of Nurse-Midwives.
引用
收藏
页码:30 / 35
页数:6
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