Document Detail


Cost savings from use of emergency contraceptive pills in Australia.
MedLine Citation:
PMID:  16029298     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Emergency contraception, which prevents pregnancy after unprotected sexual intercourse, has the potential to reduce significantly the incidence of unintended pregnancy and the consequent need for abortion and to reduce medical care costs. AIM: To determine the savings generated by use of Postinor-2, the levonorgestrel regimen of emergency hormonal contraception, in Australia. METHODS: We modelled the cost savings when women obtain Postinor-2 directly from a pharmacist where cost savings are measured as the cost of pregnancies averted by use of Postinor-2 per dollar spent on Postinor-2. RESULTS: Each dollar spent on a single treatment with Postinor-2 saves A$2.27-A$3.81 in direct medical care expenditures on unintended pregnancy depending on assumptions about savings from costs avoided by preventing mistimed births. Postinor-2 is cost-saving even under the least favourable assumption that mistimed births when prevented today occur 2 years later. Results are robust even to large changes in model input parameters. CONCLUSION: Emergency contraception is cost saving. More extensive use of emergency contraception could save considerable medical and social costs by reducing unintended pregnancies, which are expensive.
Authors:
James Trussell; Helen Calabretto
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  45     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-07-20     Completed Date:  2006-01-03     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  308-11     Citation Subset:  IM    
Affiliation:
Office of Population Research, Princeton University, Princeton, NJ 08544, USA. trussell@princeton.edu
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MeSH Terms
Descriptor/Qualifier:
Australia
Contraceptives, Oral, Synthetic / economics*
Contraceptives, Postcoital, Synthetic / economics*
Cost Savings
Delivery, Obstetric / economics
Female
Health Care Costs*
Humans
Norgestrel / economics*
Pregnancy
Pregnancy Outcome / economics
Pregnancy, Unwanted*
Chemical
Reg. No./Substance:
0/Contraceptives, Oral, Synthetic; 0/Contraceptives, Postcoital, Synthetic; 6533-00-2/Norgestrel

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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