A guide to maternity costs-why smaller units have higher costs.
In a time of international health care austerity, the costs of running a maternity unit are under increasing scrutiny. Economy of scale is shown to be central in understanding why smaller units cost more to run than larger ones. Awareness of the role of economy of scale in maternity costs can be tra...
| Publicado en: | British Journal of Midwifery Vol. 21; no. 1; pp. 54 - 60 |
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| Autor principal: | |
| Formato: | tables/charts Journal Article |
| Publicado: |
Mark Allen Holdings Limited
Jan2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107983341&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107983341 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09694900 GHC jtl: British Journal of Midwifery issn: 09694900 maglogo: N pubinfo: dt: Jan2013 vid: 21 iid: 1 pid: 11383 pub: Mark Allen Holdings Limited artinfo: ui: 107983341 85606141 10.12968/bjom.2013.21.1.54 107983341 ppf: 54 ppct: 6 formats: fmt: @attributes: type: P tig: atl: A guide to maternity costs-why smaller units have higher costs. aug: au: Jones, Rod affil: Statistical Advisor, Healthcare Analysis and Forecasting, Camberley, UK sug: subj: Maternal Health Services Economics Health Care Costs Midwives Professional Role Health Facility Costs England Hospital Units Cost Benefit Analysis Cesarean Section Surgery, Obstetrical National Health Programs Costs and Cost Analysis ab: In a time of international health care austerity, the costs of running a maternity unit are under increasing scrutiny. Economy of scale is shown to be central in understanding why smaller units cost more to run than larger ones. Awareness of the role of economy of scale in maternity costs can be traced back to the 1930s. In England, the Department of Health (DH) has insisted for many years that economy of scale is not a key factor in the tariff of services by which hospitals are paid for various activities. However, economy of scale can be clearly seen in maternity costs in England and elsewhere and this has led to a situation where smaller units have been subject to unjustified cost pressures while larger units have reaped undeserved profits. The situation has been partly obscured by exceedingly poor costing of maternity services, a situation which the DH appeared to leave untouched. Midwives are urged to become involved in the costing process at their hospital and to lobby the DH to address this unsatisfactory situation. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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