• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Health Services Research & Policy >An holistic economic evaluation of an Aboriginal community-controlled midwifery programme in Western Sydney
【24h】

An holistic economic evaluation of an Aboriginal community-controlled midwifery programme in Western Sydney

机译：悉尼西部原住民社区控制助产士计划的整体经济评估

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objectives: To conduct an holistic economic evaluation of an Aboriginal community (Daruk)-controlled midwiferynservice in Western Sydney.nMethods: The study estimated direct programme costs and downstream savings to the health sector. Measures ofnantenatal attendance and perinatal outcome were compared between Aboriginal women with and withoutnexperiences of the antenatal programme through examination of antenatal clinic records and the New South WalesnMidwives Data Collection for the period 1991–1996. Qualitative outcomes were analysed through interviews andnfocus groups.nResults: The net cost to the health sector was estimated to be $A1200 per client. Compared with Aboriginal womennwho received antenatal care in two conventional settings, there were no statistically signi. cant differences innbirthweight and perinatal survival. Gestational age at . rst visit was lower (17.2 vs 21.2 and 19.9 weeks), meannnumber of antenatal visits was higher (10.5 vs 5.5 and 9.5) and attendance for routine antenatal tests was better (94%nvs 71% and 84%). Aboriginal clients were strongly positive about their experience of the Daruk service in terms ofnrelationship and trust, accessibility,  exibility, provision of clear and appropriate information, continuity of care,nempowerment and family-centred care.nConclusions: Net per client costs to the health service were modest. Quantitative evidence of improved antenatalnoutcomes was limited, but qualitative evaluation suggested the service was strongly valued. The outcomes examinednin this study were broader than those used in conventional forms of economic evaluation and this enablednidenti. cation and analysis of more diverse sources of value from this programme
机译：目的：对悉尼西部原住民社区（达鲁克）控制的助产士服务进行整体经济评估。n方法：该研究估计了直接计划成本和卫生部门的下游节省。通过检查产前临床记录和1991-1996年新南威尔士州助产士数据收集，比较了有无产前计划的原住民妇女的产前出勤率和围产期结局。定性结果通过访谈和nfocus小组进行了分析。n结果：卫生部门的净成本估计为每位客户1200澳元。与在两种常规情况下接受产前护理的原住民妇女相比，没有统计学意义。出生体重和围产期生存率差异不明显。的孕龄。第一次访视较低（17.2比21.2和19.9周），平均产前检查次数较高（10.5对5.5和9.5），常规产前检查的出勤率更好（94％，分别为71％和84％）。原住民客户对他们在达鲁克服务方面的经验表现出积极的积极态度，包括相互关系和信任，可及性，灵活性，提供清晰和适当的信息，持续护理，增强能力和以家庭为中心的护理。服务是谦虚的。改善产前结果的定量证据有限，但定性评估表明该服务具有很高的价值。这项研究中检验的结果比传统形式的经济评估所使用的结果更广泛，这也使人们认识到这一点。阳离子和分析该计划的更多价值来源

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号