Health Economics and Equity in Preconception Health Care: A Systematic Review

被引:4
作者
Carrandi, Alayna [1 ]
Bull, Claudia [1 ]
Callander, Emily [1 ]
机构
[1] Monash Univ, Monash Ctr Hlth Res & Implementat, Sch Publ Hlth & Prevent Med, Melbourne, Vic, Australia
基金
澳大利亚国家健康与医学研究理事会;
关键词
preconception; health equity; health economics; cost-effectiveness; 1ST NATIONS; PREGNANCY; OUTCOMES; WOMEN; TECHNOLOGY; PROGRAM; COHORT;
D O I
10.1055/s-0042-1749684
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Poor pregnancy outcomes affect a child's lifelong health and disadvantaged populations are at higher risk of poor pregnancy outcomes. Preconception care aims to improve pregnancy outcomes by managing conditions and risks prior to conception. Given known inequities in pregnancy outcomes, the adoption of preconception care may benefit disadvantaged populations. Health economics plays an important role in the implementation of interventions, as economic evaluations seek to identify the most efficient and equitable care options. This review aimed to identify the cost-effectiveness of preconception care and how equity has been considered in these evaluations. A systematic review of literature published between 2012-2022 was undertaken to identify studies that evaluate the economic outcomes of preconception care. Studies that met the inclusion criteria were manually searched for consideration of equity in the economic evaluation analysis. Costs were presented and a narrative synthesis of studies reporting on outcomes of equity was conducted. Eight studies met the inclusion criteria, and only two reported on aspects of equity, specifically ethnicity. Considering the significant disparities in pregnancy outcomes among disadvantaged populations, aspects of equity are important to consider when implementing and evaluating preconception interventions. Therefore, it is recommended that future research focuses on the cost-effectiveness of preconception care and that these evaluations incorporate aspects of equity.
引用
收藏
页码:205 / 213
页数:9
相关论文
共 42 条
[1]  
[Anonymous], 2016, HLTH EC INFORM RESOU
[2]  
[Anonymous], Covidence systematic review software
[3]   Distributional Cost-Effectiveness Analysis: A Tutorial [J].
Asaria, Miqdad ;
Griffin, Susan ;
Cookson, Richard .
MEDICAL DECISION MAKING, 2016, 36 (01) :8-19
[4]  
Atrash H., 2020, Journal of Human Growth and Development, V30, P407, DOI [DOI 10.7322/JHGD.V30.11075, 10.7322/jhgd.v30.11075]
[5]  
Australian Institute of Health and Welfare (AIHW) National Perinatal Statistics Unit, 2015, AUSTR MOTH BAB 2013, P1321
[6]   Screening for autoimmune thyroid disorders after spontaneous abortion is cost-saving and it improves the subsequent pregnancy rate [J].
Bartakova, Jana ;
Potlukova, Eliska ;
Rogalewicz, Vladimir ;
Fait, Tomas ;
Schoendorfova, Dita ;
Telicka, Zdenek ;
Kratky, Jan ;
Jiskra, Jan .
BMC PREGNANCY AND CHILDBIRTH, 2013, 13
[7]   Clinical impact and cost-effectiveness of a 176-condition expanded carrier screen [J].
Beauchamp, Kyle A. ;
Taber, Katherine A. Johansen ;
Muzzey, Dale .
GENETICS IN MEDICINE, 2019, 21 (09) :1948-1957
[8]   Planned Birth Before 39 Weeks and Child Development: A Population-Based Study [J].
Bentley, Jason P. ;
Roberts, Christine L. ;
Bowen, Jenny R. ;
Martin, Andrew J. ;
Morris, Jonathan M. ;
Nassar, Natasha .
PEDIATRICS, 2016, 138 (06)
[9]   Improving the translation of search strategies using the Polyglot Search Translator: a randomized controlled trial [J].
Clark, Justin Michael ;
Sanders, Sharon ;
Carter, Matthew ;
Honeyman, David ;
Cleo, Gina ;
Auld, Yvonne ;
Booth, Debbie ;
Condron, Patrick ;
Dalais, Christine ;
Bateup, Sarah ;
Linthwaite, Bronwyn ;
May, Nikki ;
Munn, Jo ;
Ramsay, Lindy ;
Rickett, Kirsty ;
Rutter, Cameron ;
Smith, Angela ;
Sondergeld, Peter ;
Wallin, Margie ;
Jones, Mark ;
Beller, Elaine .
JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION, 2020, 108 (02) :195-207
[10]   Preconception care [J].
Dorney, Edwina ;
Black, Kirsten I. .
AUSTRALIAN JOURNAL OF GENERAL PRACTICE, 2018, 47 (07) :424-429