An assessment of the cost-effectiveness of midwife-led care in the United Kingdom

Midwifery
Padhraig RyanCharles Normand

Abstract

to analyse the existing evidence on the cost-effectiveness of midwife-led care compared with consultant-led care in settings potentially generalisable to the United Kingdom, and to estimate the potential cost savings accruing from an expansion of midwife-led care in the United Kingdom. a systematic review of the literature was conducted across twelve electronic databases for papers relating to the costs of midwife-led models of care. Randomised controlled trials, controlled clinical trials, controlled before and after studies and interrupted time series studies were considered for inclusion. The methods specified by the National Institute for Health and Clinical Excellence to assess the cost-effectiveness of midwife-led care were broadly used. Multiple simple one-way sensitivity analyses were undertaken to examine the robustness of findings to varying scenarios. based on scant existing evidence, the mean cost saving for each eligible maternity was estimated at approximately ST£12.38 (sterling). If midwife-led services were expanded to 50% of all eligible women in the UK, as assumed in the main set of results, this would result in an aggregate cost saving of ST£1.16 million per year. In the sensitivity analyses, cost changes per...Continue Reading

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Citations

Mar 30, 2017·BMC Pregnancy and Childbirth·Anna DenckerCecily Begley
Feb 26, 2019·Obstetrics and Gynecology·Leanna Sudhof, Neel T Shah
Aug 8, 2014·Frontiers in Public Health·Brian Rappert
Apr 29, 2016·The Cochrane Database of Systematic Reviews·Jane SandallDeclan Devane
Jan 7, 2017·BMC Pregnancy and Childbirth·Andrew SymonFiona Alderdice
Dec 7, 2018·Health Economics Review·Roslyn E Donnellan-FernandezEmily J Callander
Aug 29, 2020·Australian Health Review : a Publication of the Australian Hospital Association·Roslyn E Donnellan-FernandezJocelyn Toohill
Nov 19, 2020·International Journal of Environmental Research and Public Health·Anna Martín-ArribasRamón Escuriet
Jul 15, 2021·Women and Birth : Journal of the Australian College of Midwives·Andrea HanleyElla Kurz

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