IDEAS home Printed from
MyIDEAS: Login to save this paper or follow this series

Evaluation of obstetric early discharge - overview, CHERE Discussion Paper No 9

  • S Cleland
  • Sue Cameron
  • Patsy Kenny


    (CHERE, University of Technology, Sydney)

  • Madeleine King
  • Anthony Scott
  • Alan Shiell

This paper gives an overview of evaluations of obstetric early discharge schemes at three hospitals in Western Sydney Area Health Service. Satisfaction of early discharge and hospital clients with their postnatal care, the reasons given by eligible women who chose not to participate in the schemes, and cost-effectiveness analyses are presented. It was found that women choosing early discharge were more likely to be satisfied with their postnatal care than were women choosing institutional care. This result is dependent on sufficient support for the women in the home, absence of medical complications, and autonomy over the selection of the type of postnatal care received. Participation in the schemes could be increased through better communication of information and increased provision of help in the home. Both Blacktown and Westmead Early Discharge Schemes currently cost the health care system more than the value of the hospital resources which they release. The value of hospital resources released by the Auburn scheme exceeds its costs, but the difference is slight. All results are sensitive to assumptions made in the analyses. Improvements in cost-effectiveness are possible, but would not necessarily lead to reductions in hospital expenditure, as that would depend on the uses made of released resources. From the perspective of the wider community, all three schemes cost more than the value of resources which are released. At issue, therefore, is whether the increase in client choice which the early discharge schemes bring about is judged worth the additional cost.

If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.

File URL:
File Function: First version, 1992
Download Restriction: no

Paper provided by CHERE, University of Technology, Sydney in its series Discussion Papers with number 9.

in new window

Date of creation: Oct 1992
Date of revision:
Handle: RePEc:her:chedps:9
Contact details of provider: Postal: Level 4, 645 Harris Street, Ultimo, NSW 2007
Phone: +61 2 9514 9799
Fax: 61 2 9514 4730
Web page:

More information through EDIRC

No references listed on IDEAS
You can help add them by filling out this form.

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

When requesting a correction, please mention this item's handle: RePEc:her:chedps:9. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Liz Chinchen)

If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

If references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

Please note that corrections may take a couple of weeks to filter through the various RePEc services.

This information is provided to you by IDEAS at the Research Division of the Federal Reserve Bank of St. Louis using RePEc data.