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Is the Salut Progra...
Is the Salut Programme an effective and cost-effective universal health promotion intervention for parents and their children? : a register-based retrospective observational study
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- Häggström, Jenny (författare)
- Umeå universitet,Statistik,Umeå SIMSAM Lab,Umeå University, Umeå School of Business and Economics, Department of Statistics
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- Sampaio, Filipa, PhD, 1985- (författare)
- Uppsala universitet,Socialmedicin/CHAP
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- Eurenius, Eva (författare)
- Umeå universitet,Epidemiologi och global hälsa,Umeå SIMSAM Lab,Umeå University, Department of Public Health and Clinical Medicine, Epidemiology and Global Health
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- Pulkki-Brännström, Anni-Maria (författare)
- Umeå universitet,Epidemiologi och global hälsa,Umeå SIMSAM Lab,Umeå University, Department of Public Health and Clinical Medicine, Epidemiology and Global Health
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- Ivarsson, Anneli (författare)
- Umeå universitet,Epidemiologi och global hälsa,Umeå SIMSAM Lab,Umeå University, Department of Public Health and Clinical Medicine, Epidemiology and Global Health
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- Lindkvist, Marie (författare)
- Umeå universitet,Statistik,Epidemiologi och global hälsa,Umeå University, Umeå School of Business and Economics, Department of Statistics; Umeå University, Department of Public Health and Clinical Medicine, Epidemiology and Global Health
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- Feldman, Inna, Docent, 1951- (författare)
- Uppsala universitet,Socialmedicin/CHAP
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(creator_code:org_t)
- 2017-09-21
- 2017
- Engelska.
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Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 7:9
- Relaterad länk:
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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https://bmjopen.bmj....
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- OBJECTIVES: This study investigates the effectiveness and cost-effectiveness of the Salut Programme, a universal health promotion intervention, compared with care-as-usual, over the periods of pregnancy, delivery and the child's first 2 years of life.METHOD: We adopted a register-based retrospective observational design using existing data sources with respect to both exposures and outcomes. Health outcomes and costs were compared between geographical areas that received care-as-usual (non-Salut area) and areas where the programme was implemented (Salut area). We included mothers and their children from both the Salut and non-Salut areas if: (1) the child was born 2002-2004 (premeasure period) or (2) the child was born 2006-2008 (postmeasure period). The effectiveness study adopted two strategies: (1) a matched difference-in-difference analysis using data from all participants and (2) a longitudinal analysis restricted to mothers who had given birth twice, that is, both in the premeasure and postmeasure periods. The economic evaluation was performed from a healthcare and a limited societal perspective. Outcomes were clustered during pregnancy, delivery and birth and the child's first 2 years.RESULTS: Difference-in-difference analyses did not yield any significant effect on the outcomes. Longitudinal analyses resulted in significant positive improvement in Apgar scores, reflecting the newborn's physical condition, with more children having a normal Apgar score (1 min +3%, 5 min +1%). The cost of the programme was international dollar (INT$)308/child. From both costing perspectives, the programme yielded higher effects and lower costs than care-as-usual, being thus cost-saving (probability of around 50%).CONCLUSIONS: Our findings suggest that the Salut Programme is an effective universal intervention to improve maternal and child health, and it may be good value for money; however, there is large uncertainty around the cost estimates.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Child Health
- Cost-effectiveness
- Health Promotion
- Intervention Effectiveness
- Maternal Health
- Universal Intervention
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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