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堕胎及其并发症治疗护理的经济负担:一项系统综述

The Economic Burden of Abortion and Its Complication Treatment Cares: A Systematic Review.

作者信息

Soleimani Movahed Maryam, Husseini Barghazan Saeed, Askari Fariba, Arab Zozani Morteza

机构信息

Department of Health Economics, School of Health Management and Information Science, Iran University of Medical Sciences, Tehran, Iran.

Student Research Committee, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

J Family Reprod Health. 2020 Jun;14(2):60-67. doi: 10.18502/jfrh.v14i2.4354.

DOI:10.18502/jfrh.v14i2.4354
PMID:33603795
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7865195/
Abstract

Abortion related procedures contribute to a significant economic burden because it resulted in prolonged hospital stays for patients. We aimed to gather available evidence on the economic burden of abortion and post-abortion complication treatment cares worldwide. PubMed, Web of Science, Scopus, and Embase databases were searched through November 2019. Two researchers independently conducted the quality assessment and data extraction process. The latest web-based tool adjusted the estimates of costs expressed in one specific currency and price year into a specific target currency (the year 2016 $US). Totally, 2082 records were retrieved and 32 studies were deemed eligible for qualitative synthesis. The mean total costs per patient with abortion or post-abortion care ranged from $23 to $564. The annual costs ranged from 189,000 $US to 134 million $US. Abortion and post-abortion care impose a substantial economic burden on society. Understanding the burdensome of abortion or pregnancy termination among policymakers provides vital information and enables informed decisions to be made to establish health care priorities and allocating scarce resources.

摘要

与堕胎相关的手术造成了巨大的经济负担,因为它导致患者住院时间延长。我们旨在收集全球范围内有关堕胎及堕胎后并发症治疗护理经济负担的现有证据。检索了截至2019年11月的PubMed、科学网、Scopus和Embase数据库。两名研究人员独立进行质量评估和数据提取过程。最新的基于网络的工具将以一种特定货币和价格年份表示的成本估算调整为特定目标货币(2016年美元)。总共检索到2082条记录,32项研究被认为符合定性综合分析的条件。每名接受堕胎或堕胎后护理的患者的平均总成本在23美元至564美元之间。年度成本从18.9万美元到1.34亿美元不等。堕胎及堕胎后护理给社会带来了巨大的经济负担。政策制定者了解堕胎或终止妊娠的负担情况,可为确立医疗保健重点和分配稀缺资源提供重要信息并做出明智决策。

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Treatment cost and costing model of obstetric complications at a hospital in Myanmar.缅甸某医院产科并发症的治疗费用和成本模型。
PLoS One. 2019 Mar 20;14(3):e0213141. doi: 10.1371/journal.pone.0213141. eCollection 2019.
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Factors Associated with Management Outcome of Incomplete Abortion in Yirgalem General Hospital, Sidama Zone, Southern Ethiopia.
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BMC Pregnancy Childbirth. 2024 Jun 10;24(1):419. doi: 10.1186/s12884-024-06614-9.
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Comparison of the clinical efficacy of surgical versus medical method for first trimester pregnancy termination in Iran: A quasi-experimental research.伊朗早期妊娠终止手术与药物方法临床疗效比较:一项准实验研究。
J Educ Health Promot. 2023 Apr 28;12:132. doi: 10.4103/jehp.jehp_582_22. eCollection 2023.
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