caa a22 4500 397576781 CHVBK 20180308164858.0 cr unu---uuuuu 161202e199606 xx s 000 0 eng 10.1093/oxfordjournals.pubmed.a024479 doi (NATIONALLICENCE)oxford-10.1093/oxfordjournals.pubmed.a024479 The cost-effectiveness of family planning service provision [Elektronische Daten] [D. Hughes, A. McGuire] Background Family planning services are amongst the most highly utilized services in the National Health Service. There have, however, been few empirical studies of the costeffectiveness of these services. Methods Two measures of output were used to calculate the cost-effectiveness of family planning services. The first measure is based on the number of pregnancies averted. The second measure uses the couple year of protection as the measure of output. Accordingly, two cost-effectiveness ratios are calculated: cost per pregnancy averted and cost per couple year of protection. Results The direct cost per pregnancy averted is between £48 and £167 for reversible and £18 and £21 for non-reversible methods. The cost per couple year of protection is between £49 and £184 for reversible and £17 and £21 for non-reversible methods. For both approaches, if averted NHS costs associated with family planning services are included these translate into resource savings to the NHS resulting from the provision of these services. Conclusion From the perspective adopted in this study, family planning services are highly cost-effective. According to calculations made in this paper, these services provide a high rate of return to the NHS and, when the resource consequences of unplanned pregnancies in the health sector as a whole are considered, result in resource savings. © Oxford University Press Articles nationallicence family planning services nationallicence contraception nationallicence couple year of protection nationallicence cost-effectiveness nationallicence Hughes D. City University, London EC1V 0HB aut McGuire A. City University, London EC1V 0HB aut Journal of Public Health Oxford University Press 18/2(1996-06), 189-196 1741-3842 18:2<189 1996 18 pubmed https://doi.org/10.1093/oxfordjournals.pubmed.a024479 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/oxfordjournals.pubmed.a024479 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hughes D. City University, London EC1V 0HB aut NATIONALLICENCE 700 1- McGuire A. City University, London EC1V 0HB aut NATIONALLICENCE 773 0- Journal of Public Health Oxford University Press 18/2(1996-06), 189-196 1741-3842 18:2<189 1996 18 pubmed Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford