The Mayo three-community hypertension control program. V. Cost-effectiveness of intervention
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Insights
The categorical clinic model for hypertension intervention may not be cost-effective compared to less resource-intensive programs. Further analysis is needed before widespread public funding for this model.
Area of Science:
- Public Health
- Health Economics
- Cardiovascular Disease Prevention
Background:
- Hypertension remains a significant public health challenge globally.
- Community-based interventions are crucial for managing hypertension.
- Evaluating the economic efficiency of different intervention models is essential for resource allocation.
Purpose of the Study:
- To compare the cost-effectiveness of a categorical clinic model for hypertension intervention against two less resource-intensive programs.
- To analyze program, patient, and time costs associated with each hypertension intervention model.
Main Methods:
- Cost analysis comparing three community hypertension intervention programs.
- Measurement of program costs, patient costs, and time costs.
- Calculation of total costs per hypertensive patient controlled.
Main Results:
- The cost-effectiveness of the categorical clinic model is questionable when adjusted for prevalence and screening costs.
- Less resource-intensive programs may offer a more favorable economic return.
Conclusions:
- Widespread public commitment to categorical clinic models for hypertension intervention should be preceded by careful cost-effectiveness analyses.
- Resource allocation for hypertension control programs requires rigorous economic evaluation.
Abstract:
This paper compares the costs of a categorical clinic model for community hypertension intervention with the costs of two less resource-intensive hypertension programs. Three categories of costs are measured for each program: program costs, patient costs, and time costs. Total costs are expressed in terms of costs per hypertensive patient controlled under each program. When adjusted for differences in hypertension prevalence and screening costs in the three community programs, the cost-effectiveness of the categorical clinic model is questionable. These results suggest that careful analyses of the categorical clinic model in other communities should be conducted before public resources are committed to the establishment of such models on a widespread basis.