マーシャルの成人のための文化的に適応した糖尿病の自己管理と教育プログラムのコストと費用対効果
Tzeyu L Michaud1,2, Daniel Lamprecht-Carson3, Su-Hsin Chang4
1Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.
Journal of clinical and translational science
|February 16, 2026
まとめ
文化的に適応した糖尿病の自己管理教育 (DSME) は,2型糖尿病のマーシャルの成人に効果的です. 最初はより高価ですが,マイノリティー集団の血糖コントロールを改善するための費用対効果の高いアプローチを提供します.
科学分野:
- 公衆衛生は公衆衛生である.
- 健康経済学 医療経済学
- 糖尿病管理 糖尿病管理
背景:
- 文化的に適応された糖尿病自己管理教育 (DSME) は,少数民族の血糖コントロールを改善します.
- 調整されたDSMEプログラムのコストと費用対効果に関するデータは限られている.
- この研究では,マシュール州人の2型糖尿病 (T2D) の成人のための標準的なDSMEと比較して,適応されたDSMEの費用対効果を評価しています.
研究 の 目的:
- 標準的なDSMEモデルと比較して,文化的に適応したDSMEプログラムのコストと費用対効果を評価する.
- 調整されたDSME.のインクリメンタル実装費用対効果比 (ICER) を決定する.
- より広範な実装のために,適応されたDSMEの複製コストを推定する.
主な方法:
- コミュニティベースの試験 (2015年5月〜2018年5月) のデータを用いて遡及的なコストと費用対効果分析 (CEA) を行う.
- 実施資源を定量化するための活動ベースのコスト計算方法.
- CEAはICERを12ヶ月のヘモグロビンA1c (HbA1c) の減少単位コストとして計算しました.
主要な成果:
- 総プログラム費用: $1,227/参加者 (適応されたDSME) vs. $122/参加者 (標準のDSME).
- 増量費用対効果比 (ICER):HbA1cの追加単位削減につき1434ドル.
- 適応されたDSMEのレプリケーションコストの推定額: $125,473 (範囲: $62,737- $188,210).
結論:
- 文化的に適応したDSMEは,マーシャルの成人のT2Dの管理に有効です.
- 適応されたDSMEは,試験期間を超えて,費用対効果の高いライフスタイル介入である可能性があります.
- 適応されたDSMEのより広範な経済と健康への影響に関するさらなる研究が必要である.
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