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Comparative Costs of a Cooperative Care Program versus Inpatient Hospital Care for Obstetric Patients

The cost of obstetric care delivered in a cooperative care unit was compared with the cost for similar patients treated in a traditional inpatient maternity unit. The study sample contained 1,683 consecutive patients representing 23 diagnosis categories. The analysis indicates that cooperative care...

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Published in:	Medical care 1988-06, Vol.26 (6), p.596-606
Main Authors:	Woods, John R., Saywell, Robert M., Benson, J. Thomas
Format:	Article
Language:	English
Subjects:	Adult Biological and medical sciences Cesarean Section - economics Cooperatives Cost allocation Cost savings Costs and Cost Analysis Delivery, Obstetric Direct service costs Female Health care costs Hospital costs Hospital units Hospital Units - economics Hospitalization - economics Humans Indiana Length of Stay Maternal Health Services - economics Medical sciences Miscellaneous Obstetrics Pregnancy Public health. Hygiene Public health. Hygiene-occupational medicine Self-Care Units - economics Surgical procedures Unit costs
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container_issue	6
container_start_page	596
container_title	Medical care
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creator	Woods, John R. Saywell, Robert M. Benson, J. Thomas
description	The cost of obstetric care delivered in a cooperative care unit was compared with the cost for similar patients treated in a traditional inpatient maternity unit. The study sample contained 1,683 consecutive patients representing 23 diagnosis categories. The analysis indicates that cooperative care patients had significantly lower total hospital costs. This cost savings persisted even when we controlled for case severity. The only exception was for the obstetric patient requiring intra-abdominal surgery. For fiscal year 1986, hospital cost savings for the 576 patients who used the cooperative care unit was $80,640 or approximately $105,000 in total patient charges. The majority of the savings came from a reduction in routine nursing services that are directly attributable to the cooperative care unit. We conclude that cooperative care can be an economically feasible alternative for most obstetric patients.
doi_str_mv	10.1097/00005650-198806000-00008
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Thomas</creatorcontrib><title>Comparative Costs of a Cooperative Care Program versus Inpatient Hospital Care for Obstetric Patients</title><title>Medical care</title><addtitle>Med Care</addtitle><description>The cost of obstetric care delivered in a cooperative care unit was compared with the cost for similar patients treated in a traditional inpatient maternity unit. The study sample contained 1,683 consecutive patients representing 23 diagnosis categories. The analysis indicates that cooperative care patients had significantly lower total hospital costs. This cost savings persisted even when we controlled for case severity. The only exception was for the obstetric patient requiring intra-abdominal surgery. For fiscal year 1986, hospital cost savings for the 576 patients who used the cooperative care unit was $80,640 or approximately $105,000 in total patient charges. The majority of the savings came from a reduction in routine nursing services that are directly attributable to the cooperative care unit. We conclude that cooperative care can be an economically feasible alternative for most obstetric patients.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cesarean Section - economics</subject><subject>Cooperatives</subject><subject>Cost allocation</subject><subject>Cost savings</subject><subject>Costs and Cost Analysis</subject><subject>Delivery, Obstetric</subject><subject>Direct service costs</subject><subject>Female</subject><subject>Health care costs</subject><subject>Hospital costs</subject><subject>Hospital units</subject><subject>Hospital Units - economics</subject><subject>Hospitalization - economics</subject><subject>Humans</subject><subject>Indiana</subject><subject>Length of Stay</subject><subject>Maternal Health Services - economics</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Obstetrics</subject><subject>Pregnancy</subject><subject>Public health. 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Hygiene-occupational medicine</subject><subject>Self-Care Units - economics</subject><subject>Surgical procedures</subject><subject>Unit costs</subject><issn>0025-7079</issn><issn>1537-1948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><recordid>eNp1kUFv3CAUhFHVKN2m_QetxKHqzc3DgIFjtUqbSJGSQ3JGGD83Tu3FBZyo_z6k3mxO5QLMfMOTBkIog28MjDqFsmQjoWJGa2jKrXqW9BuyYZKrIgv9lmwAalkpUOYdeZ_SPQBTXNbH5JhzZYyBDcFtmGYXXR4ekG5DyomGnrpyDDO-yC4ivY7hV3QTfcCYlkQvdnMxcZfpeUjzkN24Yn2I9KpNGXMcPL1emfSBHPVuTPhxv5-Q2x9nN9vz6vLq58X2-2XlBUhddd6zutddCwo6WXfCOw-iRuEF8l6pHljjFGPMNKCZwK5tBWMgVa85ds7zE_J1fXeO4c-CKdtpSB7H0e0wLMkqXUsNihVQr6CPIaWIvZ3jMLn41zKwzw3bl4btoeF_ki7Rz_sZSzthdwjuKy3-l73vkndjH93OD-mANdzUBlTBxIo9hjGXTn-PyyNGe4duzHf2f_9bYp_W2H3KIb4OV42UvOFPFgicuA</recordid><startdate>198806</startdate><enddate>198806</enddate><creator>Woods, John R.</creator><creator>Saywell, Robert M.</creator><creator>Benson, J. Thomas</creator><general>J. B. 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Thomas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4058-dcc12f8db070d52d4cac042e4c4e3f77f016a7111960814edbb411057f83edac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cesarean Section - economics</topic><topic>Cooperatives</topic><topic>Cost allocation</topic><topic>Cost savings</topic><topic>Costs and Cost Analysis</topic><topic>Delivery, Obstetric</topic><topic>Direct service costs</topic><topic>Female</topic><topic>Health care costs</topic><topic>Hospital costs</topic><topic>Hospital units</topic><topic>Hospital Units - economics</topic><topic>Hospitalization - economics</topic><topic>Humans</topic><topic>Indiana</topic><topic>Length of Stay</topic><topic>Maternal Health Services - economics</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Obstetrics</topic><topic>Pregnancy</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Self-Care Units - economics</topic><topic>Surgical procedures</topic><topic>Unit costs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Woods, John R.</creatorcontrib><creatorcontrib>Saywell, Robert M.</creatorcontrib><creatorcontrib>Benson, J. Thomas</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Medical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Woods, John R.</au><au>Saywell, Robert M.</au><au>Benson, J. Thomas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative Costs of a Cooperative Care Program versus Inpatient Hospital Care for Obstetric Patients</atitle><jtitle>Medical care</jtitle><addtitle>Med Care</addtitle><date>1988-06</date><risdate>1988</risdate><volume>26</volume><issue>6</issue><spage>596</spage><epage>606</epage><pages>596-606</pages><issn>0025-7079</issn><eissn>1537-1948</eissn><coden>MDLCBD</coden><abstract>The cost of obstetric care delivered in a cooperative care unit was compared with the cost for similar patients treated in a traditional inpatient maternity unit. The study sample contained 1,683 consecutive patients representing 23 diagnosis categories. The analysis indicates that cooperative care patients had significantly lower total hospital costs. This cost savings persisted even when we controlled for case severity. The only exception was for the obstetric patient requiring intra-abdominal surgery. For fiscal year 1986, hospital cost savings for the 576 patients who used the cooperative care unit was $80,640 or approximately $105,000 in total patient charges. The majority of the savings came from a reduction in routine nursing services that are directly attributable to the cooperative care unit. We conclude that cooperative care can be an economically feasible alternative for most obstetric patients.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>J. B. Lippincott Co</pub><pmid>3379990</pmid><doi>10.1097/00005650-198806000-00008</doi><tpages>11</tpages></addata></record>
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source	JSTOR Archival Journals and Primary Sources Collection
subjects	Adult Biological and medical sciences Cesarean Section - economics Cooperatives Cost allocation Cost savings Costs and Cost Analysis Delivery, Obstetric Direct service costs Female Health care costs Hospital costs Hospital units Hospital Units - economics Hospitalization - economics Humans Indiana Length of Stay Maternal Health Services - economics Medical sciences Miscellaneous Obstetrics Pregnancy Public health. Hygiene Public health. Hygiene-occupational medicine Self-Care Units - economics Surgical procedures Unit costs
title	Comparative Costs of a Cooperative Care Program versus Inpatient Hospital Care for Obstetric Patients
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