PNS45 Research On Comprehensive Evaluation Index System Of Economic Operation Of Public Hospitals In China

Abstract

EPDS) during the postnatal period. Data were collected in home-visit provided by public health nurses at the first month and the regular health-check at the fourth and the seventh month after giving birth. The effectiveness of the intervention was based on clinical evidence as measured by EPDS, and improvements in maternal quality of life were estimated by mapping EPDS to the utility scores. Costs were derived from the annual budget for the maternal and child health service in the local authority. Cost-effectiveness was calculated as the incremental cost per QALY gained. Results: A total of 464 mothers who gave birth during November 2015 to April 2016 was analyzed. The EPDS score and the utility score were 4.026 (SD: 4.002) and 0.898 (SD: 0.125), respectively. Among all the models considered for the mapping, the ordinary least squares (OLS) linear model was selected because of higher accuracy (Root MAE=0.1138). Compared to that of mothers with postnatal mental disorders (EPDS scored 9 or above), the utility score of those counterparts were 0.105 QALY higher. The estimated ICER of the strengthened intervention program was 294,917.79 JPY per QALY gained. Conclusions: The strengthened community-based intervention program is highly cost-effective and leads to improved quality of life through a reduction in postnatal depression.