Satisfying parents' preferences with regard to various models of postnatal care is cost-minimizing.
BACKGROUND
This study describes three options for postnatal care in Sweden and contains a cost analysis of the options in various combinations. The aim of the study was to calculate the cost of a postnatal care model according to new parents' preferences.


METHODS
Staff costs were calculated for various models of postnatal care, comprising the maternity ward, the family suite, and/or the early discharge program. One of the models was based on answers from 342 parents who specified their preferences with regard to postnatal care in the event of another birth.


RESULTS
Comparing costs for five different models of postnatal care showed that the proportion of mothers receiving care at the maternity ward crucially influences the total costs. The staff costs differed significantly between the models, ranging from US$448 000 to US$778 000 per 1500 mother-child dyads.


METHODS
Cost calculation of various care models and parents' preferences for postnatal care.


CONCLUSIONS
Because the parents' preferences with regard to postnatal care created one of the most cost-minimizing care models in the study, it would be possible to better meet parent's desires and, at the same time, reduce costs, without increasing risks in comparison with the early discharge program.
Obstetrics and Gynecology, Department of Clinical Sciences, Umeå University, Umeå, Sweden. lotta.ellberg@vll.se
Lotta
L
Ellberg
Ulf
U
Högberg
Berit
B
Lundman
Lars
L
Lindholm
D003363:Cost Control; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007902:Length of Stay / Q000706:statistics & numerical data; D008427:Maternal Health Services / Q000191:economics*; D010290:Parents / Q000523:psychology*; D011181:Postnatal Care / Q000191:economics*; D011795:Surveys and Questionnaires