Public savings from the prevention of unintended pregnancy: A cost analysis of family planning services in california
Public savings from the prevention of unintended pregnancy: A cost analysis of family planning services in california
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DOI：
10.1111/j.1475-6773.2007.00702.x
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发表时间：
2007-10-01
影响因子：
3.4
通讯作者：
Brindis, Claire D.
中科院分区：
文献类型：
--
作者：
Amaral, Gorette;Foster, Diana Greene;Brindis, Claire D.
目的评价短-通过加州的医疗补助计划生育示范项目预防意外怀孕的长期经济节省。数据来源2002年加州处于或低于联邦贫困线200%的孕妇或育儿妇女可获得的健康和社会服务项目的二级数据，以及关于分发给加州客户的避孕药具数量和类型的数据。1115联邦医疗补助示范项目。研究设计提供公共资助的计划生育服务的成本与预防意外怀孕产生的公共储蓄的估计进行比较。数据收集为了估计每个健康和社会服务项目的成本和参与率，我们检查了已公布的项目报告，政府预算数据，由联邦和州一级项目经理进行的分析，结果-意外怀孕避免了加州的计划生育示范项目在2002年将产生11亿美元的公共支出在2年内和22亿美元在5年内，显着超过4.038亿美元的项目上花费。每花一美元产生的储蓄$2.76在2年内和$5.33在5 years.Conclusions的加州1115医疗补助计划生育示范项目导致显着的公共成本节约。该项目的费用大大低于公共部门在没有该项目的情况下的保健和社会服务费用。
Objective To assess the short-term economic savings associated with the prevention of unintended pregnancies through California's Medicaid family planning demonstration project.Data Sources Secondary data from health and social service programs available to pregnant or parenting women at or below 200 percent of the federal poverty level in California in 2002 and data on the quantity and type of contraceptives dispensed to clients of California's 1115 Federal Medicaid demonstration project.Study Design The cost of providing publicly funded family planning services was compared with an estimate of public savings resulting from the prevention of unintended pregnancies.Data Collection To estimate costs and participation rates in each health and social service program, we examined published program reports, government budgetary data, analyses conducted by federal and state level program managers, and calculations from national datasets.Findings The unintended pregnancies averted by California's family planning demonstration project in 2002 would have incurred $1.1 billion in public expenditures within 2 years and $2.2 billion within 5 years, significantly more than the $403.8 million spent on the project. Each dollar spent generated savings of $2.76 within 2 years and $5.33 within 5 years.Conclusions The California 1115 Medicaid family planning demonstration project resulted in significant public cost savings. The cost of the project was substantially less than the public sector health and social service costs which would have occurred in its absence.