A systematic review of the cost-effectiveness of maternity models of care
Open access copy at publisher website
Description
Objectives: In this systematic review, we aimed to identify the full extent of cost-effectiveness evidence available for evaluating alternative Maternity Models of Care (MMC) and to summarize findings narratively. Methods: Articles that included a decision tree or state-based (Markov) model to explore the cost-effectiveness of an MMC, and at least one comparator MMC, were identified from a systematic literature review. The MEDLINE, Embase, Web of Science, CINAHL and Google Scholar databases were searched for papers published in English, Arabic, and French. A narrative synthesis was conducted to analyse results. Results: Three studies were included; all using cost-effectiveness decision tree models with data sourced from a combination of trials, databases, and the literature. Study quality was fair to poor. Each study compared midwife-led or doula-assisted care to obstetrician- or physician-led care. The findings from these studies indicate that midwife and doula led MMCs may provide value. Conclusion: The findings of these studies indicate weak evidence that midwife and doula models of care may be a cost-effective or cost-saving alternative to standard care. However, the poor quality of evidence, lack of standardised MMC classifications, and the dearth of research conducted in this area are barriers to conclusive evaluation and highlight the need for more research incorporating appropriate models and population diversity.
Impact and interest:
Citation counts are sourced monthly from Scopus and Web of Science® citation databases.
These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.
Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search.
ID Code: | 246498 | ||||
---|---|---|---|---|---|
Item Type: | Contribution to Journal (Journal Article) | ||||
Refereed: | Yes | ||||
ORCID iD: |
|
||||
Measurements or Duration: | 9 pages | ||||
Keywords: | Cost-effectiveness, Doula, Health economics, Markov, Maternity models of care, Midwifery | ||||
DOI: | 10.1186/s12884-023-06180-6 | ||||
ISSN: | 1471-2393 | ||||
Pure ID: | 162875588 | ||||
Divisions: | Current > Research Centres > Centre for Healthcare Transformation Current > QUT Faculties and Divisions > Faculty of Health Current > Schools > School of Nursing Current > Schools > School of Public Health & Social Work |
||||
Funding Information: | This study was supported by a small internal Queensland University of Technology Vacation Research Experience Scheme grant. | ||||
Copyright Owner: | 2023 The Authors | ||||
Copyright Statement: | This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au | ||||
Deposited On: | 27 Feb 2024 01:56 | ||||
Last Modified: | 11 Mar 2024 01:06 |
Export: EndNote | Dublin Core | BibTeX
Repository Staff Only: item control page