A cluster-randomized trial to reduce caesarean delivery rates in Quebec: cost-effectiveness analysis.

ABSTRACT:

Background

Widespread increases in caesarean section (CS) rates have sparked concerns about risks to mothers and infants and rising healthcare costs. A multicentre, two-arm, cluster-randomized trial in Quebec, Canada assessed whether an audit and feedback intervention targeting health professionals would reduce CS rates for pregnant women compared to usual care, and concluded that it reduced CS rates without adverse effects on maternal or neonatal health. The effect was statistically significant but clinically small. We assessed cost-effectiveness to inform scale-up decisions.

Methods

A prospective economic evaluation was undertaken using individual patient data from the Quality of Care, Obstetrics Risk Management, and Mode of Delivery (QUARISMA) trial (April 2008 to October

SUBMITTER: Johri M 

PROVIDER: S-EPMC5439122 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature