The cost of maternity and neonatal care in Aotearoa New Zealand: A cost analysis by plurality and gestation using a population-based cohort

IF 1.4 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Australian & New Zealand Journal of Obstetrics & Gynaecology Pub Date : 2024-12-09 DOI:10.1111/ajo.13903

Karyn Anderson, Lynn Sadler, Richard Edlin

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引用次数: 0

Abstract

Background

Maternity services in New Zealand are largely delivered by autonomously practising community midwives. This model of care is unique and may result in differences in the distribution of maternity healthcare utilisation and costs compared to other countries. New Zealand-specific cost data are needed to inform economic analyses, local policy and healthcare resource planning.

Aims

To provide estimates of the average total cost of maternity and neonatal healthcare for New Zealand women and infants, including cost impacts of multiple and preterm births.

Materials and Methods

A whole-of-population linked dataset, including 262 687 pregnancies resulting in a live birth (from 1 January 2016 to 30 June 2020), was created by combining several sources of healthcare data to calculate an average per-pregnancy cost of healthcare, taking a public health system perspective, during antenatal, intrapartum, and postnatal periods to one year after birth.

Results

The mean cost of public healthcare was NZ$19 795 for both maternal and infant care to one year post-birth. The bulk of this cost was incurred during pregnancy and birth. Mean total cost to one year was NZ$69 895 for twin and NZ$201 448 for higher order multiple compared to singleton pregnancies at NZ$19 098. Mean total healthcare cost decreased as gestation increased.

Conclusions

Most of the costs associated with pregnancy and childbirth were incurred during the birth and in the early neonatal period. Costs were disproportionately higher for multiple and preterm births.

These cost data can usefully inform policy and assist healthcare decision-making around reproductive and neonatal technologies.

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新西兰奥特罗阿的产妇和新生儿护理成本：使用基于人群的队列进行多胎和妊娠的成本分析。

背景：新西兰的产科服务主要由自主执业的社区助产士提供。这种护理模式是独特的，可能导致产妇保健利用的分布和费用与其他国家相比有所不同。需要新西兰特有的成本数据来为经济分析、地方政策和医疗保健资源规划提供信息。目的：估计新西兰妇女和婴儿的产妇和新生儿保健的平均总费用，包括多胎和早产的费用影响。材料和方法：通过结合多个医疗保健数据来源，从公共卫生系统的角度，从产前、产时和产后到出生后一年，创建了一个与整个人口相关的数据集，包括262687例活产妊娠（从2016年1月1日至2020年6月30日），以计算每次妊娠的平均医疗保健成本。结果：产妇和婴儿出生后一年的公共医疗保健平均费用为19 795新西兰元。大部分费用是在怀孕和分娩期间发生的。双胞胎一年的平均总费用为69 895新西兰元，多胞胎一年的平均总费用为201 448新西兰元，而单胎怀孕的平均总费用为19 098新西兰元。平均总医疗费用随着妊娠期的增加而下降。结论：大多数与妊娠和分娩相关的费用发生在分娩和新生儿早期。多胎和早产的费用高得不成比例。这些成本数据可以有效地为有关生殖和新生儿技术的政策提供信息，并协助医疗保健决策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian & New Zealand Journal of Obstetrics & Gynaecology 医学-妇产科学

CiteScore

3.40

自引率

11.80%

发文量

165

审稿时长

4-8 weeks

期刊介绍： The Australian and New Zealand Journal of Obstetrics and Gynaecology (ANZJOG) is an editorially independent publication owned by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and the RANZCOG Research foundation. ANZJOG aims to provide a medium for the publication of original contributions to clinical practice and/or research in all fields of obstetrics and gynaecology and related disciplines. Articles are peer reviewed by clinicians or researchers expert in the field of the submitted work. From time to time the journal will also publish printed abstracts from the RANZCOG Annual Scientific Meeting and meetings of relevant special interest groups, where the accepted abstracts have undergone the journals peer review acceptance process.