- 1: About us.
- 2: Completed projects.
- 2.1: Multicenter study.
- 2.2: Pathway.
- 2.3: Economic analysis.
- 2.4: Preparation for birth.
- 2.5: Health system research.
- 2.6: Analysis of demands.
- 2.7: Decision-Guidelines .
- 2.8: Reshaping maternity care .
- 2.9: Midwife training concept .
- 2.10: Out-of-hospital midwifery care.
- 3: Study programme.
- 4: Conference.
- 5: Team .
- 6: Publications.
- 7: Contact.
- 8: Links.
Sprachen / Languages
Cost/benefit and cost/effectiveness – an analysis of different care services in obstetrics
| Objective: | Evaluation of the costs, benefits and effectiveness in two models of care |
| Target group: | The evaluation will take into account the perspective of the women, the cost bearer and the care provider |
| Design: | Prospective, controlled multi-centre study, piggy-back design |
| Method: | Documentation of the birth and written survey of 750 women eight weeks and six months after the birth, interviews with those in charge of controlling and consultant midwives, recording of the performance of those involved, partial process cost calculation, assessment of the quality of life of participants in the study, evaluation of the preferences of participants in the study |
| Instruments: | Willingness-to-pay questionnaire, SF-36 (SF-6D), EQ-5D, Edinburgh Postnatal Depression Scale, and others |
| Duration: | 02/01/2007 - 03/31/2011 |
| Financing: | BMBF, funding focus “Applied nursing research”, FK: 01 GT 0616 |
This research project represents an economic evaluation of clinical obstetric care for the first time in Germany.
The intervention group in this study consists of healthy women choosing a midwife-led unit for the birth of their child. The control group is defined from the group of healthy women who choose a standard delivery unit with management by a midwife and doctor.
Using cost-benefit (analysis economic evaluation procedure) and cost effectiveness analyses, both delivery unit models are to be evaluated. The aim is to identify the case variant in birth management for healthy pregnant women or women in labour, which demonstrate higher quality at the same cost, or which has an equal level of quality at lower cost.
Recording of the effectiveness indicators is being conducted using a ‘piggy-back design’ for the gathering of clinical data from the parallel Multicenter study research project; the data of n= 750 women are considered in the economic evaluation. The economic data are recorded directly in the administration departments of the clinics and at the cost bearers, in addition to being calculated through participating observation of sub-processes. Furthermore, an assessment is being conducted of the material costs through the birth documentation developed in the multi-centre study. Additionally, an instrument for recording the time of all participating professional groups is being used, to allow evaluation of the personnel costs in the birth process.
The benefit will be defined through the potential for savings in the comparison of alternatives and through the monetarily expressed strength of preference of the users before and after the birth.
Principal investigator:
Prof. Dr. rer. pol. Manfred Haubrock
www.manfred-haubrock.de
Research assistant:
Nina Knape, Grad. in Health-Economics (Dipl.-Kauffrau (FH)), CM
Rainhild Schäfers, Health-care manager grad. (Dipl. Pflegewirtin (FH)), CM (since 01/10/2008)
Student assistants: Brigitte Mömming, Iljana Papschewa, Stephanie Röhnisch
Contact:
University of Applied Sciences Osnabrueck
Faculty of Business Management and Social Sciences
Postfach 1940
49009 Osnabrück, Germany
Fon.: +49 (0)541 969 3473 (Knape), +49 (0)541 969 3238 (Schäfers)
Fax: +49 (0)541 969 3765
E-Mail: knape(at)wi.fh-osnabrueck.de, schaefers(at)wi.fh-osnabrueck.de
This study is being conducted in cooperation with the Nursing Services Research Network North-Rhine-Westphalia, financed by Germany’s Federal Ministry of Education and Research.