柬埔寨 2 型糖尿病和高血压患者的 "理想最低综合护理 "成本:医疗服务提供者的视角。

IF 2.6 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES International Journal of Integrated Care Pub Date : 2024-11-08 eCollection Date: 2024-10-01 DOI:10.5334/ijic.7682
Sokunthea Yem, Srean Chhim, Edwin Wouters, Josefien Van Olmen, Por Ir, Grace Marie Ku
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引用次数: 0

摘要

导言:与世界其他国家一样,柬埔寨的 2 型糖尿病(T2D)和高血压(HTN)发病率也在上升。该国正在研究扩大 T2D 和高血压综合护理的模式。然而,在这种情况下,综合护理的成本尚未得到充分了解。因此,我们模拟了柬埔寨 T2D 和高血压的 "理想最低综合护理"(IMIC)套餐(检测、诊断、治疗 + 健康教育、自我管理和随访)的成本:受 SCUBY-ICP 和 PEN 的启发,我们设计了一套针对 T2D 和高血压的有效干预措施--IMIC。对世界卫生组织非传染性疾病和心血管疾病成本计算工具进行了调整,以估算每个医疗中心每年的 IMIC 干预总成本、每个病例的成本和人均成本:IMIC 成本提供了成本信息,有助于实施决策。以 Excel 为基础的成本计算工具很容易完成,而且一旦该国有了更精确的实际输入数据,就可以通过复制这些数据来提供更准确的结果:柬埔寨 T2D 和高血压综合管理信息系统的预计成本为相关人员在扩大 T2D 和高血压综合管理信息系统的实施范围时做出知情决策提供了证据。该模型可用于具有类似背景的国家,以计算综合护理的成本。
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Cost of "Ideal Minimum Integrated Care" for Type 2 Diabetes and Hypertension Patients in Cambodia Context: Provider Perspective.

Introduction: As in other countries worldwide, Diabetes mellitus type 2 (T2D) and hypertension (HTN) prevalence is increasing in Cambodia. The country is examining models to scale-up integrated T2D and HTN care. However, costs of integrated care in this setting are not yet well-understood. Thus, we modelled the cost of an "Ideal Minimum Integrated Care" (IMIC) package (detection, diagnosis, treatment + health education, self-management and follow-up) for T2D and HTN in Cambodia.

Description: We visualised a package - IMIC - of effective interventions for T2D and HTN inspired by SCUBY-ICP and PEN. WHO NCD and HEART Costing Tools were adapted to estimate annual total IMIC intervention cost per health centre, cost per case and cost per capita.

Discussion: Cost of the IMIC provides information on costs to aid decision-making on implementation. The Excel-based costing tool is easy to accomplish and can be replicated to provide more accurate results by using more precise actual input data, once these are available in the country.

Conclusion: The projected costs of IMIC for T2D and HTN in Cambodia provides evidence to informed decision-making of relevant actors in implementing scale-up of IMIC for T2D and HTN. The model can be used in countries with similar context to calculate costs of integrated care.

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来源期刊
International Journal of Integrated Care
International Journal of Integrated Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.80
自引率
8.30%
发文量
887
审稿时长
>12 weeks
期刊介绍: Established in 2000, IJIC’s mission is to promote integrated care as a scientific discipline. IJIC’s primary purpose is to examine critically the policy and practice of integrated care and whether and how this has impacted on quality-of-care, user experiences, and cost-effectiveness. The journal regularly publishes conference supplements and special themed editions. To find out more contact Managing Editor, Susan Royer. The Journal is supported by the International Foundation for Integrated Care (IFIC).
期刊最新文献
Is There an Ideal Payment Model That Enables Integrated Care: Searching for the Impossible? Lessons Learned From the Implementation of an Integrated Health and Social Care Child and Family Hub - a Case Study. Examining Macro-Level Barriers and Facilitators to Scaling Up Integrated Care from a Complexity Perspective: A Multi-Case Study of Cambodia, Slovenia, and Belgium. Process Evaluations for the Scale-Up of Complex Interventions - a Scoping Review. Cost of "Ideal Minimum Integrated Care" for Type 2 Diabetes and Hypertension Patients in Cambodia Context: Provider Perspective.
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