dc.creator | Odalović, Marina | |
dc.creator | Lakić, Dragana | |
dc.creator | Tadić, Ivana | |
dc.creator | Tasić, Ljiljana | |
dc.creator | Petrova, Guenka | |
dc.date.accessioned | 2019-09-02T11:32:37Z | |
dc.date.available | 2019-09-02T11:32:37Z | |
dc.date.issued | 2013 | |
dc.identifier.issn | 1098-3015 | |
dc.identifier.uri | https://farfar.pharmacy.bg.ac.rs/handle/123456789/1852 | |
dc.description.abstract | Objectives: Different types of labour need different resources. Therefore,
different costs could be expected. Objectives of this study were to determine if sig-
nificant differences in costs of different type of labour and methods of delivery exist
and to determine factors related to estimated costs. The costs of spontaneous labour
with vaginal delivery (SVD), induced labour with vaginal delivery (IVD), and planned
C-section (CS) without labour were estimated. MethOds: Retrospective, population-
based study was conducted for the period January – December, 2010. Health Insurance
Fund of Republic of Serbia (HIFRS) database was used as a data source. Direct medical
costs of mother/newborn pair were estimated. Costs were observed from the perspec-
tive of HIFRS and expressed in European Monetary Unit (EUR). Results: A total of
99 women were selected for the study sample; average age was 30.55±5.42 years. The
majority of women (46.5%) had SVD, 28.3% had IVD and 25.2% had CS. Women with
CS were longer hospitalized compared to women with SVD and IVD (8.52±4.74 vs.
4.59±2.89 and 5.04±3.01 days, respectively, p<0.05). Newborns after CS were longer hos-
pitalized compared to newborns after SVD and IVD (5.76±2.20 vs. 4.0±2.07 (p<0.05) and
5.14±3.39 (p>0.05)). Majority of women (88.0%) and children (80.0%) after CS were hos-
pitalized at semi-intensive and/or intensive care unites. The average costs of delivery,
regardless of the method, were 417.02±284.14 EUR. The costs of C-section were higher
compare to SVD (640.18±240.04 vs. 243.27±131.70 EUR, p<0.05) and IVD (640.18±240.04
vs. 497.10±327.91 EUR, p>0.05). cOnclusiOns: The highest costs of labour in Serbia
were costs of planned CS. Longer maternal/newborns hospital stay and more
frequent hospitalization at semi-intensive and/or intensive care unites after CS
were leading factors of estimated high costs. Considering high costs of CS, it is neces-
sary to review such clinical practice for the purpose of optimizing the use of resources. | |
dc.publisher | Elsevier Inc. | |
dc.rights | openAccess | |
dc.source | Value in Health | |
dc.title | Costs of alternative methods of child delivery in Serbia | en |
dc.type | conferenceObject | |
dc.rights.license | ARR | |
dcterms.abstract | Одаловић, Марина; Лакић, Драгана; Тасић, Љиљана; Тадић, Ивана; Петрова, Гуенка; | |
dc.citation.volume | 16 | |
dc.citation.issue | 7 | |
dc.citation.spage | A332 | |
dc.citation.epage | A332 | |
dc.citation.other | 16(7): - | |
dc.citation.rank | aM21 | |
dc.description.other | ISPOR 16th Annual European Congress and 4th Latin America Conference Research Abstracts | |
dc.identifier.wos | 000326247600051 | |
dc.identifier.doi | 10.1016/j.jval.2013.08.059 | |
dc.identifier.fulltext | http://farfar.pharmacy.bg.ac.rs/bitstream/id/10195/Costs_of_Alternative_pub_2013.pdf | |
dc.type.version | publishedVersion | |