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Early medical abortion by telemedicine in the United Kingdom: a costing analysis.
Hawkins, J E; Glasier, A; Hall, S; Regan, L.
Afiliación
  • Hawkins JE; National Guideline Alliance, Royal College of Obstetricians and Gynaecologists, London, UK.
  • Glasier A; MRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.
  • Hall S; Royal College of Obstetricians and Gynaecologists, London, UK.
  • Regan L; Department of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.
BJOG ; 129(6): 969-975, 2022 May.
Article en En | MEDLINE | ID: mdl-34839579
OBJECTIVE: To determine the potential cost savings resulting from the introduction of routine early medical abortion (EMA) at home by telemedicine in the UK. DESIGN: A costing study. SETTING: The UK. POPULATION: Women in 2020 undergoing EMA provided by three independent abortion providers and two National Health Service (NHS) abortion clinics. METHODS: Computation of the costs of each abortion procedure and of managing failed or incomplete abortion and haemorrhage requiring blood transfusion. MAIN OUTCOME MEASURES: Cost savings. RESULTS: Overall estimated cost savings are £15.80 per abortion undertaken by independent abortion providers, representing a saving to the NHS of over £3 million per year. Limited data from NHS services resulted in an estimated average saving of £188.84 per abortion. CONCLUSIONS: Were telemedicine EMA to become routine, an increase in the number of women eligible for medical rather than surgical abortion, and a reduction in adverse events resulting from earlier abortion, could result in significant cost savings. TWEETABLE ABSTRACT: Early medical abortion at home using telemedicine could save the NHS £3 million per year.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aborto Inducido / Telemedicina Tipo de estudio: Health_economic_evaluation Límite: Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: BJOG Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aborto Inducido / Telemedicina Tipo de estudio: Health_economic_evaluation Límite: Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: BJOG Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido