National Guideline Alliance, Royal College of Obstetricians and Gynaecologists, London, UK.
MRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.
BJOG. 2022 May;129(6):969-975. doi: 10.1111/1471-0528.17033. Epub 2021 Dec 20.
To determine the potential cost savings resulting from the introduction of routine early medical abortion (EMA) at home by telemedicine in the UK.
A costing study.
The UK.
Women in 2020 undergoing EMA provided by three independent abortion providers and two National Health Service (NHS) abortion clinics.
Computation of the costs of each abortion procedure and of managing failed or incomplete abortion and haemorrhage requiring blood transfusion.
Cost savings.
Overall estimated cost savings are £15.80 per abortion undertaken by independent abortion providers, representing a saving to the NHS of over £3 million per year. Limited data from NHS services resulted in an estimated average saving of £188.84 per abortion.
Were telemedicine EMA to become routine, an increase in the number of women eligible for medical rather than surgical abortion, and a reduction in adverse events resulting from earlier abortion, could result in significant cost savings.
Early medical abortion at home using telemedicine could save the NHS £3 million per year.
确定在英国通过远程医疗常规开展早期门诊药物流产（EMA）可能带来的成本节约。
成本研究。
英国。
2020 年接受由三家独立堕胎服务机构和两家国民保健服务（NHS）堕胎诊所提供的 EMA 的女性。
计算每个堕胎手术的成本，以及处理失败或不完全流产和需要输血的出血的管理成本。
成本节约。
独立堕胎服务机构进行的每例堕胎手术的总体估计节省成本为 15.80 英镑，代表 NHS 每年节省超过 300 万英镑。来自 NHS 服务的有限数据导致每例堕胎的平均节省估计为 188.84 英镑。
如果远程医疗 EMA 成为常规，更多符合药物流产而非手术流产条件的女性将获得资格，并且早期堕胎导致的不良事件减少，这可能会带来显著的成本节约。
在家中通过远程医疗进行早期药物流产可使 NHS 每年节省 300 万英镑。
