119 Budget impact analysis of aCTG in primary midwife-led care it might reduce reimbursement. In terms of further research, it is important to explore the facilitators and barriers for healthcare professionals in MLC and OLC regarding the implementation of MLC-aCTG and explore the possibilities of improving payment models in integrated maternity care. Acknowledgements We would like to thank the regional maternity care networks that started the aCTG innovation project for their pioneering role and for their contributions to this study. We also like to thank Perined and Vektis for supplying us with the data and Anouk Klootwijk for her role in the DIAPER analysis. 5
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