The impact of publicly funded family planning clinic services on unintended pregnancies and government cost savings
The impact of publicly funded family planning clinic services on unintended pregnancies and government cost savings
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DOI：
10.1353/hpu.0.0060
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发表时间：
2008-08-01
影响因子：
1.4
通讯作者：
Tapales, Athena
中科院分区：
文献类型：
--
作者：
Frost, Jennifer J.;Finer, Lawrence B.;Tapales, Athena
公共资助的计划生育诊所每年为数百万低收入妇女提供服务，提供一系列重要的预防服务，使妇女能够避免意外怀孕。除了这些健康益处之外，还必须量化这些服务的影响和成本效益。使用类似于先前的成本效益分析的方法，我们估计了所有美国人预防的意外怀孕的数量。2004年，全国（140万例怀孕）和每个州的公共资助计划生育诊所。我们还比较了提供这些服务的实际成本（14亿美元）与预期的公共部门用于符合医疗补助条件的妇女生育和婴儿护理的成本（57亿美元），以计算公共部门的净节省（43亿美元）。因此，用于计划生育护理的公共支出不仅有助于妇女实现其生育目标，而且还节省了公共资金：我们的计算表明，每花费1美元，节省4.02美元。
Publicly funded family planning clinics serve millions of low-income women each year, providing a range of critical preventive services and enabling women to avoid unintended pregnancies. It is important to quantify the impact and cost-effectiveness of such services, in addition to these health benefits. Using a methodology similar to prior cost-benefit analyses, we estimated the numbers of unintended pregnancies prevented by all US. publicly funded family planning clinics in 2004, nationally (1.4 million pregnancies) and for each state. We also compared the actual costs of providing these services ($1.4 billion) with the anticipated public-sector costs for maternity and infant care among the Medicaid-eligible women whose births were averted ($5.7 billion) to calculate net public-sector savings ($4.3 billion). Thus, public expenditures for family planning care not only help women to achieve their childbearing goals, but they also save public dollars: Our calculations indicate that for every $1 spent, $4.02 is saved.