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The Mango trial reported lower costs for a caseload model of midwifery care though I seem to remember the economic modelling was criticised. But still useful to build an economic argument.
http://www.ncbi.nlm.nih.gov/pubmed/24050808
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Dear Sophie
Look at the Birthplace in England Programme economic evaluation as it helps to illuminate for those who find it difficult how investment in midwifery-led services does increase cost effectiveness of services. The savings are often not visible to service managers as they may work across different budget headers but can be realised via reduced hospital admissions/time in hospital/theatre use/staff resource for CS/reduced need for medical care (which is more expensive than midwifery care) or in some systems better focused use of medical care to provide better quality support for the higher risk women who need it most.
Look also at the Cochrane review of midwifery led continuity models, first author Jane Sandall, as it covers the few economic evaluations that have been done. A similar pattern is evident. Not included in that review is the economic evaluation of the one-to-one midwifery scheme in London, as it was a controlled cohort study, not a trial. The detailed economic evaluation also showed a consistent pattern with other studies. A bit more investment in midwifery (enhanced grade and salary over numbers) balanced by reduced medical and inpatient and CS costs.
This is all before even trying to count the longer-term cost consequences, which would be so hard to pin down to measure.
(I can supply you a copy of the one-to-one evaluation report if wanted, as it is quite old now and is not so easy to access but it really gives the same message as found in the Sandall et al. Cochrane review.)
Christine McCourt
PhD Programme Director &
Professor of Maternal & Child Health
City University London
1 Myddelton Street
London EC1R 1UW
Tel: 0207 040 5863 (Mob: 0791 235 1476)
Twitter: @ProfMcCourt
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From: Sophie ULB <[log in to unmask]">[log in to unmask]>
Reply-To: "A forum for discussion on midwifery and reproductive health research." <[log in to unmask]">[log in to unmask]>, Sophie ULB <[log in to unmask]">[log in to unmask]>
Date: Wednesday, 7 September 2016 13:24
To: "[log in to unmask]" <[log in to unmask]">[log in to unmask]>
Subject: Re: Salutogenesis / "normal" birth /
Hi,
Me again for help.
Am writing a « letter of intent” (that means I am suggesting what they should work on) for the Belgian NICE which is called KCE.
Surprise surprise my idea is to enhance “normal birth”.
They have 6 sections and one is “economics”. I am a bit stuck.
Of course all I can find to say is that “normal” birth is going to be MORE expensive because we need more midwives and more patience ie time and human resources.
This is not going to be what they want.
I wondered: has anybody ever found better parenting skills or things like that so that mental health services are less used?
Or any other good argument in terms of $£€
I have written that it does not matter that it is expensive because it is about the values of a society, but I don’t think that will go down well either
De : A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] De la part de Soo Downe
Envoyé : dimanche 4 septembre 2016 23:22
À : [log in to unmask]">[log in to unmask]
Objet : FW: Salutogenesis conference in Canberra
From: Deborah.Davis [[log in to unmask]" target="_blank" >mailto:[log in to unmask]]
Sent: 04 September 2016 03:33
To: Tracy.Robinson
Subject: Fw: Salutogenesis conference in Canberra
We would appreciate it if you would share this with your networks. It is going to be a great conference!
Hello,
The Midwifery team at the University of Canberra is proud to convene the October 26 & 27, 2016 conference entitled Optimising Health: Salutogenic approaches to health practice, policy, research and education to be held in Canberra, Australia. We are contacting you again as the Conference Program has been finalised.
We are excited to announce that Bengt Lindstrom, Professor of Salutogenesis in Norway, will present the Keynote Address. Plenary invited speakers include Professor Maralyn Foureur from the University of Technology Sydney, Professor John Macdonald from the University of Western Sydney, Sandra Nieuwenhuijzen, from Maintenance Operations Qantas Engineering, Professor Jan Golembiewski from the Centre for Urban Design and Mental Health and Meredith Tavener from the University of Newcastle. The conference program also offers a range of excellent concurrent speakers.
Conference information is available and registration is open through the link below.
http://www.canberra.edu.au/optimising-health
We hope to see you in Canberra in October and appreciate you circulating this email amongst your networks.
