Costs of publicly provided maternity services in Rosario, Argentina
Salud pública Méx
;
45(1): 27-34, ene.-feb. 2003. tab, graf
Article
Dans Anglais
| LILACS
| ID: lil-333566
ABSTRACT
OBJECTIVE:
This study estimates the costs of maternal health services in Rosario, Argentina. MATERIAL ANDMETHODS:
The provider costs (US$ 1999) of antenatal care, a normal vaginal delivery and a caesarean section, were evaluated retrospectively in two municipal hospitals. The cost of an antenatal visit was evaluated in two health centres and the patient costs associated with the visit were evaluated in a hospital and a health centre.RESULTS:
The average cost per hospital day is $114.62. The average cost of a caesarean section ($525.57) is five times greater than that of a normal vaginal delivery ($105.61). A normal delivery costs less at the general hospital and a c-section less at the maternity hospital. The average cost of an antenatal visit is $31.10. The provider cost is lower at the health centre than at the hospital. Personnel accounted for 72-94 percent of the total cost and drugs and medical supplies between 4-26 percent. On average, an antenatal visit costs women $4.70. Direct costs are minimal compared to indirect costs of travel and waiting time.CONCLUSIONS:
These results suggest the potential for increasing the efficiency of resource use by promoting antenatal care visits at the primary level. Women could also benefit from reduced travel and waiting time. Similar benefits could accrue to the provider by encouraging normal delivery at general hospitals, and complicated deliveries at specialised maternity hospitals
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Aide publique
/
Coûts des soins de santé
/
Centres de santé communautaires
/
Hôpitaux municipaux
/
Services de santé maternelle
Type d'étude:
Évaluation en économique de la santé
Limites du sujet:
Femelle
/
Humains
/
Grossesse
Pays comme sujet:
Amérique du Sud
/
Argentine
langue:
Anglais
Texte intégral:
Salud pública Méx
Thème du journal:
Santé publique
Année:
2003
Type:
Article
Pays d'affiliation:
Argentine
/
Suisse
/
Royaume-Uni
Institution/Pays d'affiliation:
Centro Rosarino de Estudios Perinatales/AR
/
London School of Hygiene and Tropical Medicine/GB
/
Secretaría de Salud Pública/AR
/
Swiss Tropical Institute/CH
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS