Cost-benefit Analysis of the Korean Mother Safe Counseling Center for Preventing Voluntary Pregnancy Terminations within a Period of 5 Years

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doi:2015.19.2.289

J Korean Soc Matern Child Health > Volume 19(2); 2015 > Article

Journal of The Korean Society of Maternal and Child Health 2015;19(2):289-295.
DOI: https://doi.org/10.21896/jksmch.2015.19.2.289 Published online July 31, 2015.

Cost-benefit Analysis of the Korean Mother Safe Counseling Center for Preventing Voluntary Pregnancy Terminations within a Period of 5 Years

한정열¹, 이태진², 최준식³, 안현경³, 안현숙⁴, 송태복⁵, 홍달수⁶, 홍성연⁷, 윤정섭⁸

¹관동대학교
²서울대학교보건대학원 보건학과
³단국의대 제일병원
⁴부산일신기독병원 산부인과
⁵전남대학교병원 산부인과
⁶대전미즈여성병원 산부인과
⁷대구가톨릭대학병원 산부인과
⁸울산맘스여성병원 산부인과

인공임신중절예방을 위한 한국마더세이프전문상담센터 운영에 따른 비용-편익

한정열¹, 이태진², 최준식³, 안현경³, 안현숙⁴, 송태복⁵, 홍달수⁶, 홍성연⁷, 윤정섭⁸

Abstract

Purpose
The study was to conduct a cost-benefit analysis of the Korean Mother Safe (KMS) counseling center for preventing voluntary pregnancy terminations among women who were inadvertently exposed to potential teratogen.
Methods
We studied 24,807 pregnant women from April 2010 to December 2014. Participants received information on the safety and risk of their inadvertent exposure to therapeutic drugs. The overall cost of the intervention was estimated to be 1,226,000,000 won over the study period of 5 years.
Results
Among 24,807 pregnancy exposed to drugs or substances, 20,515 births were estimated based on 82.7% birth rate. In the clinic, the prevention rate of artificial abortion was 34.5% (n= 707). In the call center, the number of the voluntary pregnancy terminations prevented by teratogen- risk counseling were estimated to be 7,852; 5,496; 3,926; or 2,356, depending on whether the efficacy of the call center was assumed to be similar to, or 70%, 50% or 30% of the prevention rate estimated for the clinical services. The money saved by avoiding operation for the termination was estimated to be 6,420,000,000 won at 100% of the efficacy and 2,300,000,000 won at 30%. In addition, the money by production inducement from birth to 80 years old in Korea was estimated to varied from 8,635,160,000,000 won to 3,090,260,000,000 won, respectively. The number of potential jobs created was estimated to varied from 8,140 to 2,912, respectively.
Conclusion
These results indicate that the cost-benefit of the teratogen-risk counseling provided by the KMS for the prevention of voluntary pregnancy terminations is substantial.

Key Words: artificial abortion, drugs, cost-benefit