A cost-effectiveness analysis of three staffing models for the delivery of low-risk prenatal care

E. A. Graveley, J. H. Littlefield

Research output: Contribution to journalArticlepeer-review

42 Scopus citations


Background. Health care costs are increasing at more than twice the rate of inflation, thus, public officials are seeking safe and economic methods to deliver quality prenatal care to poor pregnant women. This study was undertaken to determine the relationship between the cost and effectiveness of three prenatal clinic staffing models: physician based, mixed staffing, and clinical nurse specialist with physicians available for consultation. Methods. Maternal and neonatal physiological outcome data were obtained from the hospital clinical records of 156 women attending these clinics. The women were then interviewed concerning their satisfaction with their prenatal care clinic. The financial officer from each clinic provided data on the clinic staffing costs and hours of service. Results. There were no differences in outcomes for the maternal-neonatal physiological variables, although newborn admission to the Neonatal Intensive Care Unit (NICU) approached significance among the clinics. The clinic staffed by clinical nurse specialists had the greatest client satisfaction and the lowest cost per visit. Conclusions. The use of clinical nurse specialists might substantially reduce the cost of providing prenatal care while maintaining quality, and might thereby save valuable resources.

Original languageEnglish (US)
Pages (from-to)180-184
Number of pages5
JournalAmerican journal of public health
Issue number2
StatePublished - 1992
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


Dive into the research topics of 'A cost-effectiveness analysis of three staffing models for the delivery of low-risk prenatal care'. Together they form a unique fingerprint.

Cite this