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勘误:提高澳大利亚长效可逆避孕措施使用率的成本效益分析。

Corrigendum to: Cost-benefit analysis of enhancing the uptake of long-acting reversible contraception in Australia.

出版信息

Aust Health Rev. 2020 Jun;44(3):501. doi: 10.1071/AH18190_CO.

Abstract

Long-acting reversible contraception (LARC) is the most effective form of reversible contraception, but its use in Australia is low compared with other countries. The aim of this study was to evaluate the economic effect of an increase in LARC uptake to international rates.An economic model was designed to assess two scenarios, namely increasing the current rate of LARC uptake of 12.5% to the international benchmark of 14.8% among: (1) women currently using the oral contraceptive pill (OCP); and (2) women at risk of pregnancy and not using contraception. Model inputs included cost of contraceptive methods, discontinuation rates and abortion and miscarriage costs associated with unintended pregnancies.Women who switch from an OCP to LARC would save A$114-157 per year. Those not currently using any contraception who adopt LARC would incur costs of A$36-194 per year, but would reap savings from the reduction in unintended pregnancies. Over 5 years there would be a net saving of A$74.4 million for Scenario 1 and A$2.4 million for Scenario 2.Greater use of LARC would result in a net gain in economic benefits to Australia. These benefits are largely driven by women switching from an OCP to LARC who have reduced costs, as well as women wishing to avoid pregnancy who choose to use LARC rather than no method. This evidence will support women making an informed contraceptive choice and policy makers in increasing the accessibility of LARC.LARC is the most effective form of reversible contraception, but uptake in Australia is relatively low.There are economic benefits to society for women who switch from an OCP to LARC, as well as for women who switch from no contraception to LARC.The findings of this study will support women in making an informed contraceptive choice and policy makers in increasing the accessibility of LARC.

摘要

长效可逆避孕方法(LARC)是最有效的可逆避孕方法,但与其他国家相比,其在澳大利亚的使用率较低。本研究旨在评估将 LARC 的采用率提高到国际水平所产生的经济影响。

设计了一个经济模型来评估两种情况,即在当前使用口服避孕药(OCP)的女性中,将 LARC 的现有采用率从 12.5%提高到国际基准的 14.8%:(1)和(2)有怀孕风险且未使用避孕措施的女性。模型输入包括避孕方法的成本、停药率以及与非意愿妊娠相关的堕胎和流产成本。从 OCP 转为 LARC 的女性每年将节省 114-157 澳元。那些目前不使用任何避孕措施而采用 LARC 的女性每年将花费 36-194 澳元,但由于非意愿妊娠的减少,她们将获得节省。在 5 年内,情景 1 将节省 7440 万澳元,情景 2 将节省 240 万澳元。

更多地使用 LARC 将使澳大利亚获得更多的经济利益。这些收益主要是由从 OCP 转为 LARC 的女性带来的,因为她们降低了成本,同时也有希望避免怀孕的女性选择使用 LARC 而不是不使用任何避孕方法。这一证据将支持女性做出明智的避孕选择,并支持政策制定者增加 LARC 的可及性。

LARC 是最有效的可逆避孕方法,但在澳大利亚的使用率相对较低。对于从 OCP 转为 LARC 的女性以及从无避孕措施转为 LARC 的女性,社会都有经济效益。

本研究的结果将支持女性做出明智的避孕选择,并支持政策制定者增加 LARC 的可及性。

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