Hüner Beate, Vinayak Anand Kumar, Schmiedhofer Martina, Derksen Christina, Reister Frank, Scholz Christoph, Lippke Sonia
University Hospital Ulm, Department for Gynecology and Obstetrics, Prittwitzstr. 43, 89075, Ulm, Germany.
Constructor University Bremen, Campus Ring 1, 28759, Bremen, Germany.
Public Health Pract (Oxf). 2025 May 13;9:100618. doi: 10.1016/j.puhip.2025.100618. eCollection 2025 Jun.
In obstetrics, teamwork among healthcare professionals and effective communication with expectant parents are key to prevent adverse events during childbirth. These events can have lasting impacts on families and lead to significant costs for both the healthcare system and the affected families. The aim of this study is to evaluate the cost effectiveness of a training intervention for expectant mothers, focusing on improving effective communication in obstetrics.
An experimental intervention study was conducted with 76 pregnant women in the intervention group receiving patient training, and 88 in the control group. Cost effectiveness of the obstetric data was collected and evaluated with the Diagnosis Related Groups (DRG) classification, the internal cost of medical treatment and reimbursement by health insurance. In addition, patient characteristics, co-morbidities, and risk factors were assessed.
We found meaningfully lower costs per patient following patient training including communication training (patients with complications and in the intervention group 3053 Euros vs. with complications but in the control group 4523 Euros; patients without complications 2168 vs. 2418 Euros). The training significantly impacted patient safety in terms of a reduced average patient costs by 30 % only in case where women experienced complications.
The results demonstrate the positive impact of communication training on enhancing patient safety while simultaneously reducing costs. The implementation of a patient training program focusing on communication skills for expectant parents effectively merges economic efficacy with a progressive approach in obstetrics. Furthermore, effective communication training could improve the articulation of needs, thereby bridging the gap between potentially exacerbated health inequalities for pregnant women with social risk factors.
在产科领域，医护人员之间的团队合作以及与准父母的有效沟通是预防分娩期间不良事件的关键。这些事件可能对家庭产生持久影响，并给医疗系统和受影响家庭带来巨大成本。本研究的目的是评估针对准妈妈的培训干预措施的成本效益，重点是改善产科中的有效沟通。
进行了一项实验性干预研究，干预组有76名孕妇接受患者培训，对照组有88名孕妇。通过诊断相关分组（DRG）分类、医疗内部成本和医疗保险报销情况收集并评估产科数据的成本效益。此外，还评估了患者特征、合并症和风险因素。
我们发现，接受包括沟通培训在内的患者培训后，每位患者的成本显著降低（有并发症的干预组患者为3053欧元，有并发症的对照组患者为4523欧元；无并发症的患者分别为2168欧元和2418欧元）。仅在女性出现并发症的情况下，培训对患者安全产生了显著影响，平均患者成本降低了30%。
结果表明沟通培训对提高患者安全同时降低成本具有积极影响。为准父母实施注重沟通技巧的患者培训计划，有效地将经济效益与产科的进步方法相结合。此外，有效的沟通培训可以改善需求的表达，从而弥合有社会风险因素的孕妇潜在加剧的健康不平等之间的差距。
