Document Detail


The impact of the baby bonus on maternity services in New South Wales.
MedLine Citation:
PMID:  20218993     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: In 2004, the Federal Government introduced the baby bonus, a one-off payment upon the birth of a child. AIMS: To assess the impact of an increase in the number of births on maternity services in New South Wales following the introduction of the baby bonus payment in July 2004. METHODS: A population-based study, using NSW birth records, of 965 635 deliveries from 1998 to 2008 was carried out. The difference between the predicted number of births in 2005-2008, estimated from trends in births from 1998 to 2004, and the observed number of births in NSW hospitals in 2005-2008 were calculated. We also estimated the increase in cost to the health system of births in 2008 compared with previous years. RESULTS: Compared with trends prior to the introduction of the baby bonus, there were an estimated 11 283 extra singleton births per year in NSW hospitals by 2008. There were significant increases in the number of deliveries performed in tertiary, urban and rural public hospitals; however, the number of deliveries in private hospitals remained stable. Compared with predicted estimates, in 2008, there were over 8700 more vaginal deliveries, over 1000 more preterm births and over 45 000 extra infant hospital days each year. Compared with 2004, in 2008, the estimated cost of births in NSW hospitals increased by $60 million. CONCLUSIONS: The increase in births following the introduction of the baby bonus has significantly impacted maternity services in NSW.
Authors:
Samantha J Lain; Christine L Roberts; Camille H Raynes-Greenow; Jonathan Morris
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  50     ISSN:  1479-828X     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-03-11     Completed Date:  2010-07-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  25-9     Citation Subset:  IM    
Affiliation:
Kolling Institute of Medical Research, University of Sydney, Royal North Shore Hospital, St Leonards, NSW, Australia. samlain@med.usyd.edu.au
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MeSH Terms
Descriptor/Qualifier:
Birth Rate / trends*
Female
Health Care Costs*
Health Policy / economics*
Humans
Maternal Health Services / economics*
New South Wales / epidemiology
Pregnancy

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


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