Cost-effectiveness Analysis of Interventions to Improve Control of High Blood Pressure in Low Resource Settings: The Case of Nigeria
| Autor: | Obinna Ikechukwu Ekwunife, Cletus N. Aguwa |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
business.industry
Control (management) Probabilistic logic Psychological intervention Markov chain Monte Carlo Cost-effectiveness analysis Markov model symbols.namesake Blood pressure Health care symbols General Earth and Planetary Sciences Medicine Operations management business health care economics and organizations General Environmental Science |
| Zdroj: | Cardiology and Angiology: An International Journal. 2:87-101 |
| ISSN: | 2347-520X |
| Popis: | Objectives:Prevalence of hypertension is on the rise in most African countries while control remains poor. In the literature, there are effective interventions which could be implemented in hospitals of low r esource setting such as Nigeria to improve control of blood pressure. This study aimed to evaluate the cost -effectiveness of three of such interventions namely: self -monitoring; health professional led care; and organization driven care interventions. Methods: A Markov model was used to represent a life cycle of Nigerian hypertensive female patients in low risk of having a cardiovascular event. Health care costs were obtained from existing databases and calibrated to Nigerian setting or derived through a cost analysis using a Nigerian hospital. Costs were presented in 2013 US dollars value. Uncertainties in the input parameters used in the analyses were captured using distributions appropriate for each parameter. Probabilistic cost -effectiveness analysis was performed using Markov Chain Monte Carlo simulation, and presented as cost |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|