Abstract

VILLARREAL-RIOS, Enrique et al. Cost effectiveness of type 2 Diabetes Mellitus patient care handled by family doctor versus educational strategy. Rev Clin Med Fam [online]. 2013, vol.6, n.3, pp.123-130. ISSN 2386-8201.  https://dx.doi.org/10.4321/S1699-695X2013000300002.

Objective: To assess the cost effectiveness of type 2 Diabetes Mellitus patient care handled by family doctor versus educational strategy. Design: Cost effectiveness study. Participants: Type 2 Diabetes Mellitus patients falling into two groups: patients under family doctor and those in educational strategy. Main Surveyed Data: The assessed effectiveness with modification of the biochemical values: glycemia, total cholesterol and triglycerides. The estimated cost in US Dollars is defined by rate of use and unit cost for family medicine services, laboratory, medicines and educational strategy. The analysis included cost effectiveness ratio and projection. Results: The best cost effectiveness ratio for plasma glucoseis presented in the educational strategy alternative; for every 100 US$ spent, glucose is reduced 10,42 mg/dl. In family doctor strategy, the reduction is 2,57 mg/dl for the same amount. The trend is similar for cholesterol and triglycerides; the body mass index showed no reduction in either of the alternatives. Conclusions: The best cost effectiveness ratio is found in educational strategy.

Keywords : Diabetes Mellitus; Education; Family and Community Medicine; Cost-Benefit analysis.

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