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dc.contributor.authorCallander, Emily J
dc.contributor.authorThomas, Joseph
dc.contributor.authorFox, Haylee
dc.contributor.authorEllwood, David
dc.contributor.authorFlenady, Vicki
dc.date.accessioned2019-11-26T03:28:46Z
dc.date.available2019-11-26T03:28:46Z
dc.date.issued2019
dc.identifier.issn0730-7659
dc.identifier.doi10.1111/birt.12469
dc.identifier.urihttp://hdl.handle.net/10072/389272
dc.description.abstractBACKGROUND: Reducing stillbirth rates is an international priority; however, little is known about the cost of stillbirth. This analysis sought to quantify the costs of stillbirth in Australia. METHODS: Mothers and costs were identified by linking a state-based registry of all births between 2012 and 2015 to other administrative data sets. Costs from time of birth to 2 years postbirth were included. Propensity score matching was used to account for differences between women who had a stillbirth and those that did not. Macroeconomic costs were estimated using value of lost output analysis and value of lost welfare analysis. RESULTS: Cost to government was on average $3774 more per mother who had a stillbirth compared with mothers who had a live birth. After accounting for gestation at birth, the cost of a stillbirth was 42% more than a live birth (P < .001). Costs for inpatient services, emergency department services, services covered under Medicare (such as primary and specialist care, diagnostic tests and imaging), and prescription pharmaceuticals were all significantly higher for mothers who had a stillbirth. Mothers who had a stillbirth paid on average $1479 out of pocket, which was 52% more than mothers who had a live birth after accounting for gestation at birth (P < .001). The value of lost output was estimated to be $73.8 million (95% CI: 44.0 million-103.9 million). The estimated value of lost social welfare was estimated to be $18 billion. DISCUSSION: Stillbirth has a sustained economic impact on society and families, which demonstrates the potential resource savings that could be generated from stillbirth prevention.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley-Blackwell Publishing
dc.publisher.placeUnited States
dc.relation.ispartofjournalBirth
dc.subject.fieldofresearchPaediatrics
dc.subject.fieldofresearchReproductive medicine
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchApplied economics
dc.subject.fieldofresearchcode3213
dc.subject.fieldofresearchcode3215
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode3801
dc.subject.keywordscosts
dc.subject.keywordsdecision-making
dc.subject.keywordseconomics
dc.subject.keywordsresource use
dc.subject.keywordsstillbirth
dc.titleWhat are the costs of stillbirth? Capturing the direct health care and macroeconomic costs in Australia
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationCallander, EJ; Thomas, J; Fox, H; Ellwood, D; Flenady, V, What are the costs of stillbirth? Capturing the direct health care and macroeconomic costs in Australia, Birth, 2019
dcterms.dateAccepted2019-10-28
dc.date.updated2019-11-25T23:59:09Z
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version
gro.hasfulltextNo Full Text
gro.griffith.authorFox, Haylee
gro.griffith.authorCallander, Emily J.
gro.griffith.authorEllwood, David A.
gro.griffith.authorFlenady, Vicki


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