Treating incomplete abortion in El Salvador: cost savings with manual vacuum aspiration
| Autor: | Olga Molina de Perez, Stephanie L. Koontz, Kathleen Leon, Anne Foster-Rosales |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Cost-Benefit Analysis medicine.medical_treatment Abortion Contraceptive counseling Curettage Incomplete Abortion Postoperative Complications Pregnancy Outcome Assessment Health Care El Salvador medicine Humans Prospective Studies Hospital Costs Early discharge Vacuum aspiration business.industry Obstetrics and Gynecology Length of Stay Middle Aged Abortion Incomplete Cost savings Surgery Vacuum Curettage Reproductive Medicine Emergency medicine Female business Hospital stay |
| Zdroj: | Contraception. 68:345-351 |
| ISSN: | 0010-7824 |
| DOI: | 10.1016/s0010-7824(03)00162-8 |
| Popis: | When manual vacuum aspiration (MVA) was introduced to treat incomplete abortion at a regional training hospital in El Salvador, this study evaluated the impact of replacing sharp curettage with MVA. Hospital cost, length of hospital stay, complication rates and postabortion contraceptive acceptance were compared in a prospective, nonrandomized, controlled study of 154 women assigned to either traditional sharp curettage services or MVA services plus contraceptive counseling. Assignment depended on availability of trained providers. Compared to sharp curettage, use of MVA and associated changes in protocol led to a significant cost savings of 13% and shorter hospital stay of 28%. Dedicated family-planning counseling resulted in a threefold higher rate of contraceptive acceptance. Although the difference in cost was significant, much higher savings could be realized if minimal postoperative stays were implemented for both procedures. Barriers to early discharge include patient expectations, physician attitudes and training and hospital systems administration. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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