Table 4 Modelling cost by place of birth per year in NSW
From: Modelling the cost of place of birth: a pathway analysis
N=30000 | Proportion | AR DRG only | Estimated AN care and AR DRG |
|---|---|---|---|
Scenario 1: Current proportions | |||
Home | 0.004 | $569,760 | $826,560 |
Birth Centre | 0.06 | $8,962,200 | $12,814,200 |
Hospital | 0.936 | $153,401,040 | $213,492,240 |
Total | 1 | $162,933,000 | $227,133,000 |
Scenario 2: Upscaling to 1% homebirth and 9% Birth Centre | |||
Home | 0.01 | $1,424,400 | $2,066,400 |
Birth Centre | 0.09 | $13,443,300 | $19,221,300 |
Hospital | 0.9 | $147,501,000 | $205,281,000 |
Total | 1 | $162,368,700 | $226,568,700 |
Differencea | Â | Â | -$564,300 |
Scenario 3: Upscaling 2.5% homebirth 5% birth centre (similar to UK proportions) | |||
Home | 0.025 | $3,561,000 | $5,179,500 |
Birth Centre | 0.05 | $7,468,500 | $10,624,500 |
Hospital | 0.925 | $151,598,250 | $210,983,250 |
Total | 1 | $162,627,750 | $226,827,750 |
Differencea | Â | Â | -$305,250 |
Scenario 4: Upscaling to 1% homebirth and 15% birth centre | |||
Home | 0.01 | $1,424,400 | $2,066,400 |
Birth Centre | 0.15 | $22,405,500 | $30,996,000 |
Hospital | 0.84 | $137,667,600 | $191,595,600 |
Total | 1 | $161,497,500 | $224,658,000 |
Differencea | Â | Â | -$2,475,000 |
Scenario 5: Upscaling to 2.5% homebirth and 15% birth centre | |||
Home | 0.025 | $3,561,000 | $5,179,500 |
Birth Centre | 0.15 | $22,405,500 | $30,996,000 |
Hospital | 0.825 | $135,209,250 | $188,174,250 |
Total | 1 | $161,175,750 | $224,349,750 |
Differencea | Â | Â | -$2,783,250 |