Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy - Departmental faculty of Medicine and Surgery, Saint Camillus International University of Rome and Medical Sciences (UniCamillus), Rome, Italy.
Departmental faculty of Medicine and Surgery, Saint Camillus International University of Rome and Medical Sciences (UniCamillus), Rome, Italy.
Acta Biomed. 2022 Aug 31;93(4):e2022227. doi: 10.23750/abm.v93i4.12923.
In Italy, the main birthplace is a hospital, and only a few women choose an out-of-hospital setting. This study assessed the costs related to delivery in different birthplaces in Italy.
The cost analysis considered direct and amortizable costs associated with mother-child care in physiological conditions. An analysis of the hospital births considered the Diagnoses-Related Groups 373 and 391. To estimate the cost of the births assisted privately by freelance midwives, an evaluation based on an experts' opinion was carried out.
Childbirth hospital care in Italy amounts to € 1832.00, and birth in an out-of-hospital setting accredited with the National Health System has a full cost of € 1345.19 in the 'maternity home' and € 909.60 at home. The average cost of the birth in 'private maternity homes' amounted to € 3260.00, while at-home births amounted to € 2910.00.
Any accreditation of out-of-hospital settings by the NHS would considerably reduce the waste of economic resources compared to hospital childbirth.
在意大利，主要的分娩地点是医院，只有少数女性选择在医院以外的地方分娩。本研究评估了意大利不同分娩地点相关的分娩成本。
本成本分析考虑了与生理条件下母婴护理相关的直接和可摊销成本。对医院分娩的分析考虑了诊断相关分组 373 和 391。为了估计由自由职业助产士私人协助分娩的成本，进行了基于专家意见的评估。
意大利的医院分娩护理费用为 1832.00 欧元，而在国家卫生系统认可的非医院分娩场所，在“产妇之家”的全额费用为 1345.19 欧元，在家中为 909.60 欧元。“私立产妇之家”的平均分娩费用为 3260.00 欧元，而在家中的分娩费用为 2910.00 欧元。
与医院分娩相比，任何由国民保健制度认可的非医院分娩场所都将大大减少经济资源的浪费。
