Health and economic outcomes of a universal early intervention for parents and children from birth to age five : evaluation of the Salut Programme using a natural experiment
Background: The aim of this study was to investigate the health and economic outcomes of a universal early intervention for parents and children, the Salut Programme, from birth to when the child completed five years of age. Methods: This study adopted a retrospective observational design using rout...
Published in: | Cost Effectiveness and Resource Allocation |
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Umeå universitet, Statistik
2023
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Online Access: | http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-208946 https://doi.org/10.1186/s12962-023-00439-7 |
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ftumeauniv:oai:DiVA.org:umu-208946 2023-10-09T21:54:39+02:00 Health and economic outcomes of a universal early intervention for parents and children from birth to age five : evaluation of the Salut Programme using a natural experiment Sampaio, Filipa Häggström, Jenny Ssegonja, Richard Eurenius, Eva Ivarsson, Anneli Pulkki-Brännström, Anni-Maria Feldman, Inna 2023 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-208946 https://doi.org/10.1186/s12962-023-00439-7 eng eng Umeå universitet, Statistik Umeå universitet, Institutionen för epidemiologi och global hälsa Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden Department of Public Health and Caring Sciences, Uppsala University, BMC, Husargatan 3, Uppsala, Sweden; Department of Medical Sciences, Respiratory-, Allergy- and Sleep Medicine Research Unit, Uppsala University, Uppsala, Sweden Cost Effectiveness and Resource Allocation, 2023, 21:1, orcid:0000-0002-9086-7403 orcid:0000-0002-8184-6360 orcid:0000-0001-8944-2558 0000-00018723-8131 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-208946 doi:10.1186/s12962-023-00439-7 PMID 37143113 ISI:000980523200001 Scopus 2-s2.0-85157979665 info:eu-repo/semantics/openAccess Child health Early intervention Health care costs Maternal health costs Universal prevention Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Article in journal info:eu-repo/semantics/article text 2023 ftumeauniv https://doi.org/10.1186/s12962-023-00439-7 2023-09-22T14:00:09Z Background: The aim of this study was to investigate the health and economic outcomes of a universal early intervention for parents and children, the Salut Programme, from birth to when the child completed five years of age. Methods: This study adopted a retrospective observational design using routinely collected linked register data with respect to both exposures and outcomes from Västerbotten county, in northern Sweden. Making use of a natural experiment, areas that received care-as-usual (non-Salut area) were compared to areas where the Programme was implemented after 2006 (Salut area) in terms of: (i) health outcomes, healthcare resource use and costs around pregnancy, delivery and birth, and (ii) healthcare resource use and related costs, as well as costs of care of sick child. We estimated total cumulative costs related to inpatient and specialised outpatient care for mothers and children, and financial benefits paid to mothers to stay home from work to care for a sick child. Two analyses were conducted: a matched difference-in difference analysis using the total sample and an analysis including a longitudinal subsample. Results: The longitudinal analysis on mothers who gave birth in both pre- and post-measure periods showed that mothers exposed to the Programme had on average 6% (95% CI 3–9%) more full-term pregnancies and 2% (95% CI 0.03-3%) more babies with a birth weight ≥ 2500 g, compared to mothers who had care-as-usual. Savings were incurred in terms of outpatient care costs for children of mothers in the Salut area ($826). The difference-in-difference analysis using the total sample did not result in any significant differences in health outcomes or cumulative resource use over time. Conclusions: The Salut Programme achieved health gains, as a health promotion early intervention for children and parents, in terms of more full-term pregnancies and more babies with a birth weight ≥ 2500 g, at reasonable cost, and may lead to lower usage of outpatient care. Other indicators point towards positive ... Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) Cost Effectiveness and Resource Allocation 21 1 |
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Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
Child health Early intervention Health care costs Maternal health costs Universal prevention Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
spellingShingle |
Child health Early intervention Health care costs Maternal health costs Universal prevention Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Sampaio, Filipa Häggström, Jenny Ssegonja, Richard Eurenius, Eva Ivarsson, Anneli Pulkki-Brännström, Anni-Maria Feldman, Inna Health and economic outcomes of a universal early intervention for parents and children from birth to age five : evaluation of the Salut Programme using a natural experiment |
topic_facet |
Child health Early intervention Health care costs Maternal health costs Universal prevention Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
description |
Background: The aim of this study was to investigate the health and economic outcomes of a universal early intervention for parents and children, the Salut Programme, from birth to when the child completed five years of age. Methods: This study adopted a retrospective observational design using routinely collected linked register data with respect to both exposures and outcomes from Västerbotten county, in northern Sweden. Making use of a natural experiment, areas that received care-as-usual (non-Salut area) were compared to areas where the Programme was implemented after 2006 (Salut area) in terms of: (i) health outcomes, healthcare resource use and costs around pregnancy, delivery and birth, and (ii) healthcare resource use and related costs, as well as costs of care of sick child. We estimated total cumulative costs related to inpatient and specialised outpatient care for mothers and children, and financial benefits paid to mothers to stay home from work to care for a sick child. Two analyses were conducted: a matched difference-in difference analysis using the total sample and an analysis including a longitudinal subsample. Results: The longitudinal analysis on mothers who gave birth in both pre- and post-measure periods showed that mothers exposed to the Programme had on average 6% (95% CI 3–9%) more full-term pregnancies and 2% (95% CI 0.03-3%) more babies with a birth weight ≥ 2500 g, compared to mothers who had care-as-usual. Savings were incurred in terms of outpatient care costs for children of mothers in the Salut area ($826). The difference-in-difference analysis using the total sample did not result in any significant differences in health outcomes or cumulative resource use over time. Conclusions: The Salut Programme achieved health gains, as a health promotion early intervention for children and parents, in terms of more full-term pregnancies and more babies with a birth weight ≥ 2500 g, at reasonable cost, and may lead to lower usage of outpatient care. Other indicators point towards positive ... |
format |
Article in Journal/Newspaper |
author |
Sampaio, Filipa Häggström, Jenny Ssegonja, Richard Eurenius, Eva Ivarsson, Anneli Pulkki-Brännström, Anni-Maria Feldman, Inna |
author_facet |
Sampaio, Filipa Häggström, Jenny Ssegonja, Richard Eurenius, Eva Ivarsson, Anneli Pulkki-Brännström, Anni-Maria Feldman, Inna |
author_sort |
Sampaio, Filipa |
title |
Health and economic outcomes of a universal early intervention for parents and children from birth to age five : evaluation of the Salut Programme using a natural experiment |
title_short |
Health and economic outcomes of a universal early intervention for parents and children from birth to age five : evaluation of the Salut Programme using a natural experiment |
title_full |
Health and economic outcomes of a universal early intervention for parents and children from birth to age five : evaluation of the Salut Programme using a natural experiment |
title_fullStr |
Health and economic outcomes of a universal early intervention for parents and children from birth to age five : evaluation of the Salut Programme using a natural experiment |
title_full_unstemmed |
Health and economic outcomes of a universal early intervention for parents and children from birth to age five : evaluation of the Salut Programme using a natural experiment |
title_sort |
health and economic outcomes of a universal early intervention for parents and children from birth to age five : evaluation of the salut programme using a natural experiment |
publisher |
Umeå universitet, Statistik |
publishDate |
2023 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-208946 https://doi.org/10.1186/s12962-023-00439-7 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
Cost Effectiveness and Resource Allocation, 2023, 21:1, orcid:0000-0002-9086-7403 orcid:0000-0002-8184-6360 orcid:0000-0001-8944-2558 0000-00018723-8131 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-208946 doi:10.1186/s12962-023-00439-7 PMID 37143113 ISI:000980523200001 Scopus 2-s2.0-85157979665 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1186/s12962-023-00439-7 |
container_title |
Cost Effectiveness and Resource Allocation |
container_volume |
21 |
container_issue |
1 |
_version_ |
1779318330857881600 |