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The Cost-effectiveness Analysis of Nurse-Family Partnership in the United States

by Dean, Kelsey S , Rosen, Zohn , Muennig, Peter A , Wu, Jinjing

in Access to information / Child abuse & neglect / Child, Preschool / Children / Clinical trials / Cohort Studies / Computer simulation / Confidence intervals / Cost analysis / Cost control / Cost-Benefit Analysis / Costs / Families & family life / Family Nursing - economics / Female / Health care expenditures / Health Policy - economics / High risk / Humans / Infant / Infant, Newborn / Investments / Low income groups / Maternal-Child Nursing - economics / Medicaid / Medical personnel / Medical research / Monte Carlo simulation / Mothers / Nurse patient relationships / Nurses / Partnerships / Patient Protection & Affordable Care Act 2010-US / Pregnancy / Professional-Family Relations / Program Evaluation / Quality adjusted life years / Quality of life / Savings / Simulation / Social determinants of health / Social factors / Social policy / United States / Womens health

2017

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The Cost-effectiveness Analysis of Nurse-Family Partnership in the United States

by Dean, Kelsey S , Rosen, Zohn , Muennig, Peter A , Wu, Jinjing

2017

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The Cost-effectiveness Analysis of Nurse-Family Partnership in the United States

by Dean, Kelsey S , Rosen, Zohn , Muennig, Peter A , Wu, Jinjing

2017

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Journal Article

The Cost-effectiveness Analysis of Nurse-Family Partnership in the United States

Dean, Kelsey S,

Rosen, Zohn,

Muennig, Peter A,

Wu, Jinjing

2017

Overview

We evaluated whether Nurse-Family Partnership might serve as a cost-effective social policy for improving health. Using data from studies of randomized controlled trials as well as real-world data, we conducted a Monte Carlo simulation to estimate cost-effectiveness of Nurse-Family Partnership in a hypothetical cohort of first-born children in the United States. Analyses were conducted in 2015. Were all new mothers eligible for Nurse-Family Partnership, the program would produce 0.11 QALYs (95% confidence interval [CI]=0.06, 0.17) at an additional cost of $1,021 (95% CI=-$2,831, $4,414) per nurse-visited child's lifetime relative to the comparison-group children or $14,642 (95% CI = Savings, $71,877) per QALY gained. However, if applied to high-risk mothers, it would generate 0.19 QALYs (95% CI = 0.09, 0.44) and a net benefit of $2,764 (95% CI =-$1,210, $7,092) per nurse-visited child. Nurse-Family Partnership should be considered as a policy investment, particularly in an era of investments in the social determinants of health.

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Publisher

Johns Hopkins University Press

Subject

Access to information

/ Child abuse & neglect

/ Computer simulation