Charles Darwin University

CDU eSpace
Institutional Repository

 
CDU Staff and Student only
 

A cost-consequences analysis of a Midwifery Group Practice for Aboriginal mothers and infants in the Top End of the Northern Territory, Australia

Gao, Yu, Gold, Lisa, Josif, Cathryn, Bar-Zeev, Sarah, Steenkamp, Malinda, Barclay, Lesley, Zhao, Yuejen, Tracy, Sally and Kildea, Sue (2014). A cost-consequences analysis of a Midwifery Group Practice for Aboriginal mothers and infants in the Top End of the Northern Territory, Australia. Midwifery,30(4):447-455.

Document type: Journal Article
Citation counts: Altmetric Score Altmetric Score is 11
Google Scholar Search Google Scholar

IRMA ID 82794376xPUB279
Title A cost-consequences analysis of a Midwifery Group Practice for Aboriginal mothers and infants in the Top End of the Northern Territory, Australia
Author Gao, Yu
Gold, Lisa
Josif, Cathryn
Bar-Zeev, Sarah
Steenkamp, Malinda
Barclay, Lesley
Zhao, Yuejen
Tracy, Sally
Kildea, Sue
Journal Name Midwifery
Publication Date 2014
Volume Number 30
Issue Number 4
ISSN 0266-6138   (check CDU catalogue open catalogue search in new window)
Start Page 447
End Page 455
Total Pages 9
Place of Publication United Kingdom
Publisher Churchill Livingstone
HERDC Category C1 - Journal Article (DIISR)
Abstract Objective: to compare the cost-effectiveness of two models of service delivery: Midwifery Group Practice (MGP) and baseline cohort.

Design: a retrospective and prospective cohort study.

Setting: a regional hospital in Northern Territory (NT), Australia.

Methods: baseline cohort included all Aboriginal mothers (n=412), and their infants (n=416), from two remote communities who gave birth between 2004 and 2006. The MGP cohort included all Aboriginal mothers (n=310), and their infants (n=315), from seven communities who gave birth between 2009 and 2011. The baseline cohort mothers and infant's medical records were retrospectively audited and the MGP cohort data were prospectively collected. All the direct costs, from the Department of Health (DH) perspective, occurred from the first antenatal presentation to six weeks post partum for mothers and up to 28 days post births for infants were included for analysis.

Analysis: analysis was performed with SPSS 19.0 and Stata 12.1. Independent sample of t-tests and χ2 were conducted.

Findings: women receiving MGP care had significantly more antenatal care, more ultrasounds, were more likely to be admitted to hospital antenatally, and had more postnatal care in town. The MGP cohort had significantly reduced average length of stay for infants admitted to Special Care Nursery (SCN). There was no significant difference between the two cohorts for major birth outcomes such as mode of birth, preterm birth rate and low birth weight. Costs savings (mean A$703) were found, although these were not statistically significant, for women and their infants receiving MGP care compared to the baseline cohort.

Conclusions: for remote dwelling Aboriginal women of all risk who travelled to town for birth, MGP was likely to be cost effective, and women received better care and resulting in equivalent birth outcomes compared with the baseline maternity care.
Keywords Midwifery Group Practice
Cost-consequences analysis
Indigenous
Australia
DOI http://dx.doi.org/10.1016/j.midw.2013.04.004   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
Versions
Version Filter Type
Access Statistics: 115 Abstract Views  -  Detailed Statistics
Created: Wed, 19 Aug 2015, 12:20:13 CST