Costo-efectividad de la implementación del código rojo obstétrico en 8 hospitales de Bogotá en el 2018
Obstetric hemorrhage is the main cause of maternal mortality in the world. Currently, there are several public health intervention strategies that aim to face this problem. In Colombia, one of these strategies is called obstetric Red Code (ORC) which has shown positive results by decreasing mortalit...
- Autores:
-
Matute González, Ednna Constanza
- Tipo de recurso:
- Fecha de publicación:
- 2018
- Institución:
- Universidad de los Andes
- Repositorio:
- Séneca: repositorio Uniandes
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.uniandes.edu.co:1992/51410
- Acceso en línea:
- http://hdl.handle.net/1992/51410
- Palabra clave:
- Economía de la salud
Hemorragia uterina
Ginecología
Salud pública
Medicina
Gobierno y Asuntos Públicos
- Rights
- openAccess
- License
- Attribution-NonCommercial-NoDerivatives 4.0 Internacional
| Summary: | Obstetric hemorrhage is the main cause of maternal mortality in the world. Currently, there are several public health intervention strategies that aim to face this problem. In Colombia, one of these strategies is called obstetric Red Code (ORC) which has shown positive results by decreasing mortality. As there are no studies developed from the health economics perspective that examine the strategy?s results, it is relevant to analyze the financial implications of adopting the ORC strategy in the event of obstetric hemorrhage, within the framework of the Colombian social security system. The authors developed an integrative economic evaluation study, with a cost-effectiveness design and based on a secondary data analysis. The study evaluates the resuscitation strategy of ORC in a real scenario, using the data corresponded to pregnant women in Bogota during 2018, that after immediately birth period presented with hypovolemic shock associated with obstetric causes, and compares it with an ideal theoretical scenario where all the steps defined in the ideal model are completed, according to the best evidence data. The study comprises an incremental cost-effectiveness calculation that compares the costs of childbirth by vaginal delivery and cesarean section. The study concluded that the ideal model is more cost-effective for the social security system, in both types of childbirth, and therefore the implementation and adherence of all the activities described in the RC strategy are decisive for the outcomes. |
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