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Автор Seiner, Karen
Автор Lairson, David, R.
Дата выпуска 1985
dc.description This cost-effectiveness analysis (CEA) was conducted to evaluate the relative efficiency of three alternative prenatal care programs in rural, low-income areas of Texas. The study compared both the actual cost per visit and the predicted capacity cost per visit, the latter determining which model type has potential to be most efficient. The same clinic modelproved to have the lowest cost per visit when using both actual and adjusted capacity data. After considering specific criteria, cost per visit differences were attributed primarily to the mix of medical personnel. Specifically, the use of certified nurse midwives in conjunction with physician backup proved more costeffective than salaried MDs. Relative efficiency is quantified and reasons for cost differences are identified.
Издатель SAGE PUBLICATIONS, INC.
Название A Cost-Effectiveness Analysis of Prenatal Care Delivery
Тип Journal Article
DOI 10.1177/016327878500800108
Print ISSN 0163-2787
Журнал Evaluation & the Health Professions
Том 8
Первая страница 93
Последняя страница 108
Аффилиация Seiner, Karen, Southwest Center for the Study of Hospital and Health Care Systems, Houston
Аффилиация Lairson, David, R., School of Public Health, University of Texas at Houston
Выпуск 1
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Библиографическая ссылка LeBLANC, D. (1983) "Quality of maternity care in rural Texas," unpublished Ph.D. dissertation, School of Public Health, University of Texas, Houston.
Библиографическая ссылка LEROY, L. and S. SOLKOWITZ (1980) "Costs and effectiveness of nurse practitioners," in The Implications of Cost-Effectiveness Analysis of Medical Technology. Background Paper 2: Case Studies of Medical Technologies. Office of Technology Assessment. Washington, DC: Government Printing Office.
Библиографическая ссылка LEVIN, A. (1968) "Cost effectiveness in maternal and child health implications for program planning and evaluation."New England J. of Medicine278, 19: 1041-1046.
Библиографическая ссылка LEVY, B. S., F. S. WILDINSON, and W. M. MARINE (1971) "Reducing neonatal mortality with nurse-midwives."Amer. J. of Obstetrics and Gynecology109, 1: 50-58.
Библиографическая ссылка REID, M. L. and J. B. MORRIS (May 1979) "Perinatal care and cost effectiveness changes in health expenditures and birth outcomes following the establishment of a nurse-midwife program."Medical Care17, 5: 1041-1046.

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