2010, Number 5
Cost-effectiveness analysis in type 2 diabetes patients without hypertension
Language: Spanish
References: 17
Page: 535-538
PDF size: 29.64 Kb.
ABSTRACT
Objective: to determine SOHDi program cost-effectiveness (S = overweight, O = obesity, H = hypertension, Di = diabetes) in type 2 diabetes patients (DM2) without hypertension.Methods: sample included 32 patients. The effectiveness was measured by the blood glucose values. The SOHDi intervention cost included physician medical attention cost (PMAC), laboratory cost (LC), education group cost and individual evaluation cost. The cost of the traditional alternative medical attention (TAMA) contemplated PMAC and LC. The analysis cost-effectiveness included different intervals measurements, equal or smaller than 140 mg/dL blood glucose levels.
Results: the percentage of population with equal or smaller than 140 mg/dL blood glucose (effectiveness) in SOHDi was 23.3 %, in TAMA was 44.8 %. The average cost in SOHDi was $2202.22; in TAMA $1930.79. In the cases with blood glucose equal or smaller to 140 mg/dL the cost of effectiveness of 50 % was $4726 in SOHDi and $2155 in TAMA. In this same situation the effectiveness by $1000 was 10.58 % in SOHDi and 23.20 % in TAMA.
Conclusions: the SOHDi group is not the best alternative, at least not in the present operational conditions.
REFERENCES
Colunga RC, López MM, Aguayo AG, Canales ML. Calidad de atención y satisfacción del usuario con cita previa en medicina familiar de Guadalajara Rev Cubana Salud Publica 2007;(333): 34-38. Disponible en http://www.imbiomed.com. mx/1/1/ articulos.php?method=showDetail&id_ articulo=47478&id_seccion=762&id_ejemplar= 4811&id_revista=79
Olivos RJ, Galicia RL, Villarreal RE, Martínez GL, Vargas DE, Cadena PP, et al. Perfil de uso de los servicios de salud en primer nivel de atención por diabéticos tipo 2 sin hipertensión arterial sistémica. En: Villarreal RE, Martínez G L, Galicia RL, Vargas DE, editores. El sistema de salud, perfil de uso y costo en primer nivel de atención. Querétaro, México: Universidad Autónoma de Querétaro; 2007. p. 59-67.
Romero IN, Villarreal RE, Vargas DE, Galicia RL, Martínez GL, Ruelas CM, et al. Perfil de uso de los servicios de salud en primer nivel de atención por diabéticos hipertensos. En: Villarreal RE, Martínez G L, Galicia RL, Vargas DE, editores. El sistema de salud, perfil de uso y costo en primer nivel de atención. Querétaro, México: Universidad Autónoma de Querétaro; 2007. p. 78-86.