LBI-HTA - Publications - Search - Re-orientation of the Austrian parent-child preventive care programme. Part VIII: Review of economic evaluations and budget impact analysis of outreach services and measures to reduce premature birth

Zechmeister-Koss, I. and Fischer, S. and Erdos, J. (2012): Re-orientation of the Austrian parent-child preventive care programme. Part VIII: Review of economic evaluations and budget impact analysis of outreach services and measures to reduce premature birth. HTA-Projektbericht 55.

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Abstract

Background and aim of study:
Measures to reduce premature births and outreach services for expectant mothers/parents and infants were identified as possible focus areas of a reorientation of parent-child preventive care. The aim of the report is to estimate the immediate financial consequences for public payers (budget impact) that are associated with the introduction of such measures in Austria.

Method:
We calculated running programme costs, the expected health outcomes and the associated cost-saving potentials as well as the resulting total costs for the most promising measures that were identified via (economic) literature reviews. The analysis was carried out for a five-year time horizon from a public payer’s perspective.

Results:
Preterm birth: Depending on the type of programme, programme costs varied between < 50,000 € and 2 Mio. €. In the majority of scenarios analysed, potential cost-savings outweigh expected programme costs. From an efficiency perspective, the "cervix screening + progesterone" and the "vaginal infection screening" programmes appear superior to the "progesterone injection", "fish oil" and "smoking cessation" programmes.
Outreach services: cost-savings in the hospital sector due to outreach services following early discharge after normal birth seem to outweigh programme costs. Outreach services in early childhood are most expensive with a lower likelihood for (economic) benefits, however from all programmes analysed they are the only ones that primarily tackle health inequalities.

Conclusion:
Apart from clinical benefits most of the programmes analysed most likely will result in economic benefits. The implementation in the form of a pilot project with an accompanying evaluation is recommendable.

Item Type:Project Report
Keywords:Budget impact analysis, economic evaluation, pregnancy, early childhood, premature birth, outreach services, health visiting
Subjects:WA Public health > WA 525-590 Health administration and organisation
WA Public health > WA 108-245 Preventive medicine
WA Public health > WA 309 Women´s health
WA Public health > WA 310 Maternal and child welfare
WQ Obstetrics > WQ 200-212 Pregnancy
W Health professions > W 74-80 Medical economics. Health care costs
WA Public health > WA 308 Family health
WA Public health > WA 105 Epidemiology
WS Pediatrics > WS 420 Newborn infants. Neonatology
Language:German
Series Name:HTA-Projektbericht 55
Deposited on:22 May 2012 12:36
Last Modified:22 May 2012 13:25

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