作者: J Trussell , J A Leveque , J D Koenig , R London , S Borden
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摘要: OBJECTIVES. The purpose of the study was to determine clinical and economic impact alternative contraceptive methods. METHODS. Direct medical costs (method use, side effects, unintended pregnancies) associated with 15 methods were modeled from perspectives a private payer publicly funded program. Cost data drawn national claims database MediCal. main outcome measures included 1-year 5-year number pregnancies avoided compared use no method. RESULTS. All contraceptives more effective less costly than Over 5 years, copper-T IUD, vasectomy, implant, injectable most cost-effective, saving $14,122, $13,899, $13,813, $13,373, respectively, preventing approximately same (4.2) per person. Because their high failure rates, barrier methods, spermicides, withdrawal, periodic abstinence but still...