Budget impact results according to different implementation rates of MLC-aCTG
| Analysis, n | MLC-aCTG implementation rates | Actual costs | Reimbursed costs | Budget impact: actual costs (95% CI) | Budget impact: reimbursement (95% CI) |
| Base-case analysis, n=28 597 | Reference: 0% (ie, 100% OLC-aCTG) | €6 717 139 | €42 666 047 | ||
| 25% | €7 028 902 | €35 127 711 | €311 763 (€188 574 to €426 072) | −€7 538 335 (−€10 302 306 to −€4559 661) | |
| 50% | €7 340 665 | €27 589 376 | €623 526 (€377 148 to 852 145) | −€15 076 671 (−€20 604 613 to −€9 119 322) | |
| 75% | €7 652 428 | €20 051 040 | €935 289 (€565 722 to €1 278 217) | −€22 615 006 (−€30 906 919 to −€13 678 984) | |
| 100% | €7 964 191 | €12 512 705 | €1 247 052 (€754 296 to €1 704 290) | −€30 153 342 (−€41 209 225 to −€18 238 645) | |
| Sensitivity analysis, n=21 375 | Reference: 0% (ie, 100% OLC-aCTG) | €5 020 892 | €31 891 792 | ||
| 25% | €5 253 927 | €26 257 077 | €233 035 (€149 260 to €372 683) | −€5 634 715 (−€9 011 368 to −€3 609 068) | |
| 50% | €5 486 962 | €20 622 362 | €466 070 (€298 520 to €745 366) | −€11 269 431 (−€18 022 736 to −€7 218 136) | |
| 75% | €5 719 997 | €14 987 646 | €699 105 (€447 781 to €1 118 049) | −€16 904 146 (−€27 034 104 to −€10 827 204) | |
| 100% | €5 953 032 | €9 352 931 | €932 140 (€597 041 to €1 490 733) | −€ 22 538 862 (−€36 045 473 to −€14 436 272) |
Base-case analysis was based on the prevalence of performing an aCTG with three indications (19.8%).
Sensitivity analysis was based on the prevalence of performing an aCTG with one indication, that is, reduced fetal movements (14.8%).
Costs are indexed to 2020.
MLC-aCTG, midwife-led care antenatal cardiotocograph; OLC-aCTG, obstetrician-led care aCTG.