Inventaire d'enquêtes Demostaf

Information sur la citation

Type Revue - Women's Health (17455057)
Titre Measuring the cost-effectiveness of midwife-led versus physician-led intrapartum teams in developing countries.
Auteur(s)
Volume 11
Numéro 4
Publication (Jour/Mois/Année) 2015
Numéros de page 553
URL http://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=108960214&lang=fr&site=eds-live
Résumé
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. [ABSTRACT FROM AUTHOR]

Études utilisées

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Friedman, S, Liang, and L Banks. "Measuring the cost-effectiveness of midwife-led versus physician-led intrapartum teams in developing countries.." Women's Health (17455057) 11, no. 4 (2015): 553.
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