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• W2050226556 abstract "This study aimed to evaluate the cost-effectiveness of a group diabetes education program delivered by health promoters in community health centers in the Western Cape, South Africa. The effectiveness of the education program was derived from the outcomes of a pragmatic cluster randomized controlled trial (RCT). Incremental operational costs of the intervention, as implemented in the trial, were calculated. All these data were entered into a Markov micro-simulation model to simulate clinical outcomes and health costs that were expressed as an Incremental Cost Effectiveness Ratio (ICER). The only significant effect from the RCT at one year was a reduction in blood pressure (systolic blood pressure −4.65 mmHg (95%CI:−9·18 to −0·12) and diastolic blood pressure −3.30 mmHg (95%CI:−5·35 to −1·26)). The ICER for the intervention, based on the assumption that the costs would recur every year and the effect could be maintained, was 1862 $/QALY gained. A structured group education program performed by mid-level trained healthcare workers at community health centers, for the management of Type II diabetes in the Western Cape, South Africa is therefore cost-effective. This cost-effectiveness analysis supports the more widespread implementation of this intervention in primary care within South Africa." @default.
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• W2050226556 date "2015-05-01" @default.
• W2050226556 modified "2023-10-01" @default.
• W2050226556 title "Cost-effectiveness of a diabetes group education program delivered by health promoters with a guiding style in underserved communities in Cape Town, South Africa" @default.
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• W2050226556 doi "https://doi.org/10.1016/j.pec.2015.01.005" @default.
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