Health Economics and Equity in Preconception Health Care: A Systematic Review.

Carrandi, A; Bull, C; Callander, E

Health Economics and Equity in Preconception Health Care: A Systematic Review.

Carrandi, A Bull, C Callander, E

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Publisher:: Thieme
Publication Type:: Journal Article
Citation:: Semin Reprod Med, 2022, 40, (3-04), pp. 205-213
Issue Date:: 2022-07

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Field	Value	Language
dc.contributor.author	Carrandi, A
dc.contributor.author	Bull, C
dc.contributor.author	Callander, E https://orcid.org/0000-0001-7233-6804
dc.date.accessioned	2023-02-13T23:13:31Z
dc.date.available	2023-02-13T23:13:31Z
dc.date.issued	2022-07
dc.identifier.citation	Semin Reprod Med, 2022, 40, (3-04), pp. 205-213
dc.identifier.issn	1526-8004
dc.identifier.issn	1526-4564
dc.identifier.uri	http://hdl.handle.net/10453/166088
dc.description.abstract	Poor pregnancy outcomes affect a child's lifelong health and disadvantaged populations are at higher risk of poor pregnancy outcomes. Preconception care aims to improve pregnancy outcomes by managing conditions and risks prior to conception. Given known inequities in pregnancy outcomes, the adoption of preconception care may benefit disadvantaged populations. Health economics plays an important role in the implementation of interventions, as economic evaluations seek to identify the most efficient and equitable care options. This review aimed to identify the cost-effectiveness of preconception care and how equity has been considered in these evaluations. A systematic review of literature published between 2012-2022 was undertaken to identify studies that evaluate the economic outcomes of preconception care. Studies that met the inclusion criteria were manually searched for consideration of equity in the economic evaluation analysis. Costs were presented and a narrative synthesis of studies reporting on outcomes of equity was conducted. Eight studies met the inclusion criteria, and only two reported on aspects of equity, specifically ethnicity. Considering the significant disparities in pregnancy outcomes among disadvantaged populations, aspects of equity are important to consider when implementing and evaluating preconception interventions. Therefore, it is recommended that future research focuses on the cost-effectiveness of preconception care and that these evaluations incorporate aspects of equity.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Thieme
dc.relation.ispartof	Semin Reprod Med
dc.relation.isbasedon	10.1055/s-0042-1749684
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1114 Paediatrics and Reproductive Medicine
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Preconception Care
dc.subject.mesh	Pregnancy
dc.subject.mesh	Pregnancy Outcome
dc.subject.mesh	Humans
dc.subject.mesh	Pregnancy Outcome
dc.subject.mesh	Preconception Care
dc.subject.mesh	Pregnancy
dc.subject.mesh	Female
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Preconception Care
dc.subject.mesh	Pregnancy
dc.subject.mesh	Pregnancy Outcome
dc.title	Health Economics and Equity in Preconception Health Care: A Systematic Review.
dc.type	Journal Article
utslib.citation.volume	40
utslib.location.activity	United States
utslib.for	1114 Paediatrics and Reproductive Medicine
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2023-02-13T23:13:30Z
pubs.issue	3-04
pubs.publication-status	Published
pubs.volume	40
utslib.citation.issue	3-04

Abstract:

Poor pregnancy outcomes affect a child's lifelong health and disadvantaged populations are at higher risk of poor pregnancy outcomes. Preconception care aims to improve pregnancy outcomes by managing conditions and risks prior to conception. Given known inequities in pregnancy outcomes, the adoption of preconception care may benefit disadvantaged populations. Health economics plays an important role in the implementation of interventions, as economic evaluations seek to identify the most efficient and equitable care options. This review aimed to identify the cost-effectiveness of preconception care and how equity has been considered in these evaluations. A systematic review of literature published between 2012-2022 was undertaken to identify studies that evaluate the economic outcomes of preconception care. Studies that met the inclusion criteria were manually searched for consideration of equity in the economic evaluation analysis. Costs were presented and a narrative synthesis of studies reporting on outcomes of equity was conducted. Eight studies met the inclusion criteria, and only two reported on aspects of equity, specifically ethnicity. Considering the significant disparities in pregnancy outcomes among disadvantaged populations, aspects of equity are important to consider when implementing and evaluating preconception interventions. Therefore, it is recommended that future research focuses on the cost-effectiveness of preconception care and that these evaluations incorporate aspects of equity.

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http://hdl.handle.net/10453/166088