Lotfi Mahshid, Lotfi Farhad, Sedghi Shahram, Panahi Sirous
Librarianship and Medical Information Department, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
National Center for Health Insurance Research, Tehran, Iran.
Med J Islam Repub Iran. 2023 Aug 2;37:86. doi: 10.47176/mjiri.37.86. eCollection 2023.
Type II diabetes is considered a chronic disease that influences the affected person's quality of life and imposes a high economic burden on the patient and society. The enhancement of health literacy seems essential for self-management and disease control in patients with type II diabetes. Consequently, this study was performed to evaluate the cost-effectiveness of enhanced health literacy in type II diabetes patients.
This study was of quantitative and economic evaluation type. A population of 232 patients was selected among those referred to the Tafihan Shiraz clinic based on the quality of entry and exit. The health literacy educational intervention was carried out for three months. In order to collect information, researchers used the SF36 questionnaire and the checklist of costs. The Cost Effectiveness Ratio (CER) and Incremental Cost Effectiveness Ratio (ICER) were calculated. Moreover, the costs of each unit of increasing the quality of life before and after the intervention were calculated. A decision was made to determine the cost-effectiveness of the intervention.
According to the results, 40% of the participants were females, and 34.5% were 30-40 years old. Examination of the quality of life in patients before the intervention indicated that the mean and standard deviation of the patients' quality of life before the intervention was 18.43±44.99, and the mean and standard deviation of the quality of life after the intervention was 49.57±16.21. Moreover, the patients' quality of life increased after the educational intervention. The total direct medical costs were $717,484 and $685,620 before and after the intervention, respectively. The total indirect medical costs were $604,122 and $493,011 before and after the intervention, respectively. Moreover, the total indirect costs were $122,535 and $122,119 before and after the intervention, respectively. The study was cost-effective with CER=0.9 and ICER= - 140,000 per increase in the quality of life.
Improving health literacy can have a range of benefits and improve the quality of life of patients with type II diabetes and reduce their treatment costs, and thereby, this may be seen as an effective step toward the recovery of patients with type II diabetes.
2型糖尿病被认为是一种慢性病，会影响患者的生活质量，并给患者和社会带来沉重的经济负担。提高健康素养对于2型糖尿病患者的自我管理和疾病控制似乎至关重要。因此，本研究旨在评估提高2型糖尿病患者健康素养的成本效益。
本研究为定量和经济评估类型。根据出入院质量，从转诊至设拉子塔菲汉诊所的患者中选取了232名患者作为研究对象。健康素养教育干预持续了三个月。为了收集信息，研究人员使用了SF36问卷和成本清单。计算了成本效益比（CER）和增量成本效益比（ICER）。此外，还计算了干预前后生活质量每提高一个单位的成本。并做出决定以确定干预措施的成本效益。
结果显示，40%的参与者为女性，34.5%的参与者年龄在30至40岁之间。干预前对患者生活质量的检查表明，干预前患者生活质量的平均值和标准差为18.43±44.99，干预后生活质量的平均值和标准差为49.57±16.21。此外，教育干预后患者的生活质量有所提高。干预前后的直接医疗总费用分别为717,484美元和685,620美元。干预前后的间接医疗总费用分别为604,122美元和493,011美元。此外，干预前后的间接总费用分别为122,535美元和122,119美元。该研究具有成本效益，CER = 0.9，每提高一个生活质量单位ICER = -140,000。
提高健康素养可以带来一系列益处，改善2型糖尿病患者的生活质量并降低其治疗成本，因此，这可以被视为朝着2型糖尿病患者康复迈出的有效一步。
