Cost-effectiveness analysis of a multidisciplinary health-care model for patients with type-2 diabetes implemented in the public sector in Mexico: A quasi-experimental, retrospective evaluation
Published in Diabetes Research and Clinical Practice, 2020
Recommended citation: Sosa-Rubí, S., Contreras-Loya, D., Pedraza-Arizmendi, D., Chivardi-Moreno, C., Alarid-Escudero, F., López-Ridaura, R., Serván-Mori, E., Molina-Cuevas, V., Casales, G., Espinos-López, C., GonzálezRoldán, J. F., Silva-Tinoco, R., Seiglie, J., & Gómez-Dantés, O. (2020). Cost-effectiveness analysis of a multidisciplinary health-care model for patients with type-2 diabetes implemented in the public sector in Mexico: A quasi-experimental, retrospective evaluation. Diabetes Research and Clinical Practice, 2020;167(108336):1-8. https://doi.org/10.1016/j.diabres.2020.108336. https://doi.org/10.1016/j.diabres.2020.108336
Abstract
Objective
In 2007, the Ministry of Health (MoH) in Mexico implemented a multidisciplinary health-care model (MHC) for patients with type-2 diabetes (T2D), which has proven more effective in controlling this condition than the conventional health-care model (CHC).
Research design and methods
We compared the cost-effectiveness of the MHC vs. the CHC for patients with T2D using a quasi-experimental, retrospective design. Epidemiologic and cost data were obtained from a randomly selected sample of health-care units, using medical records as well as patient- and facility-level data. We modelled the cost-effectiveness of the MHC at one, 10 and 20 years using a simulation model.
Results
The average cumulative costs per patient at 20 years were $4,225 for the MHC and $4,399 for the CHC. With a willingness to pay one gross domestic product (GDP) per capita per quality-adjusted life year (QALY) ($8,910), the incremental net benefits per patient were $1,450 and $3,737 at 10 and 20 years, respectively. The MHC was cost-effective from the third year onward; however, increasing coverage to 500 patients per year rendered it cost-effective at year one.
Conclusions
The MHC is cost-effective at 10 and 20 years. Cost-effectiveness can be achieved in the short term by increasing MHC coverage.