Birthing on country service compared to standard care for First Nations Australians: a cost-effectiveness analysis from a health system perspective

Gao, Yu; Roe, Yvette; Hickey, Sam; Chadha, Anvitaa; Kruske, Sue; Nelson, Carmel; Carson, Adrian; Watego, Kristie; Reynolds, Maree; Costello, Jo; Tracy, Sally; Kildea, Sue

doi:10.1016/j.lanwpc.2023.100722

Cited by 4 publications

(2 citation statements)

References 22 publications

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“…These data assisted BoC advocates in using transaction and seduction techniques to enroll governments and medical providers into the BoC program. Further, with a mix of health, financial, and marketing discourses (Gao et al 2023;Kildea et al 2021Kildea et al , 2017, BoC advocates were able to position BoC in a manner that convinced institutions to formalize their role in the BoC movement. For example, the research showed that the program reduced costs per birth by an average of AUD 5,283 (approximately USD 3,540) due to lower preterm birth rates and reduced transportation costs to regional hospitals for mothers (Gao et al 2023).…”

Section: Enrollmentmentioning

confidence: 99%

“…Further, with a mix of health, financial, and marketing discourses (Gao et al 2023;Kildea et al 2021Kildea et al , 2017, BoC advocates were able to position BoC in a manner that convinced institutions to formalize their role in the BoC movement. For example, the research showed that the program reduced costs per birth by an average of AUD 5,283 (approximately USD 3,540) due to lower preterm birth rates and reduced transportation costs to regional hospitals for mothers (Gao et al 2023). Hence, presenting a clear financial advantage to a decolonized approach to birth for First Nations peoples convinced governments to consider further investing in future BoC programs and initiatives (National Indigenous Australians Agency 2022a).…”

Section: Enrollmentmentioning

confidence: 99%

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On the Path to Decolonizing Health Care Services: The Role of Marketing

George,

D’Alessandro,

Mehmet

et al. 2023

Journal of Marketing

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Despite considerable investment, health outcomes for First Nations people are well below those of the rest of the population in several countries, including Canada, the USA, and Australia. In this paper, we draw on actor-network theory and the case of “Birthing on Country,” a successful policy initiative led by First Nations Australians, to explore the decolonization of health services. Using publicly available archival data and the theoretical guidance of actor-network theory, our analysis offers insight into how marketing techniques and technologies can be deployed to achieve improved health outcomes and implement decolonial approaches. The insights provided have theoretical implications for marketing scholarship, social implications for understanding and implementing an agenda of decolonization, and practical implications for healthcare marketing.

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