Applying a private sector capitation model to the management of type 2 diabetes in the South African public sector: a cost-effectiveness analysis
نویسندگان
چکیده
BACKGROUND Diabetes mellitus contributes substantially to the non-communicable disease burden in South Africa. The proposed National Health Insurance system provides an opportunity to consider the development of a cost-effective capitation model of care for patients with type 2 diabetes. The objective of the study was to determine the potential cost-effectiveness of adapting a private sector diabetes management programme (DMP) to the South African public sector. METHODS Cost-effectiveness analysis was undertaken with a public sector model of the DMP as the intervention and a usual practice model as the comparator. Probabilistic modelling was utilized for incremental cost-effectiveness ratio analysis with life years gained selected as the outcome. Secondary data were used to design the model while cost information was obtained from various sources, taking into account public sector billing. RESULTS Modelling found an incremental cost-effectiveness ratio (ICER) of ZAR 8 356 (USD 1018) per life year gained (LYG) for the DMP against the usual practice model. This fell substantially below the Willingness-to-Pay threshold with bootstrapping analysis. Furthermore, a national implementation of the intervention could potentially result in an estimated cumulative gain of 96 997 years of life (95% CI 71 073 years - 113 994 years). CONCLUSIONS Probabilistic modelling found the capitation intervention to be cost-effective, with an ICER of ZAR 8 356 (USD 1018) per LYG. Piloting the service within the public sector is recommended as an initial step, as this would provide data for more accurate economic evaluation, and would also allow for qualitative analysis of the programme.
منابع مشابه
Author's response to reviews Title:Applying a private sector capitation model to the management of type 2 diabetes in the South African public sector: a cost-effectiveness analysis. Authors:
متن کامل
Cost-effectiveness of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass in two hospitals of Tehran city in 2014
Background: Bariatric surgery with the improvement of obesity-related diseases, increases longevity and quality of life and is more cost-effective when compared to non-surgical Procedures. Objective: The aim of this study is to compare the cost-effectiveness of Laparoscopic Sleeve Gastrectomy (LSG) and Laparoscopic Roux-en-Y Gastric Bypass (LRYGB). Method:...
متن کاملA Model for Public-Private Partnership in the Public Services Sector
Public-private partnership is a new way to expand public services through the private sector, which should be increasingly taken into consideration in Iran. This research aims at identifying effective factors in the success of public-private partnership and providing a model for the public services sector in Iran. The data collection tool was a questionnaire and the analytical unit and the stat...
متن کاملEconomic Evaluation of Rehabilitation of Spinal Cord Injury patients in Iran in 2019
Objectives: Despite the various available evidence that rehabilitation interventions are effective for spinal cord injury patients, these interventions usually impose costs on the health system. Therefore, it is necessary to examine the cost-effectiveness of these interventions for the health system of countries through economic evaluation. Based on this, in this study, we have examined the cos...
متن کاملDESIGNING A LOCAL MODEL OF HUMAN RESOURCE MANAGEMENT FOR THE PRIVATE HEALTH SECTOR OF WEST AZERBAIJAN PROVINCE IN 2019
Background & Aims: Effective management of human resources in accordance with changes in the inside and outside environment of the health care system is essential and has a significant impact on costs, time spent, speed of service delivery, and overall quality of health services. The purpose of this study was to design a local model of human resource management for the private health sector in ...
متن کامل