Abstract
INTRODUCTION: Economic burden of diabetes was expected to continue to grow. A study had shown that up to 73% of diabetes-related healthcare costs result from hospitalization and ambulatory care, as a result of complications due to poor blood sugar control. Analysis has shown that improved glycemic control would be likely to bring substantial clinical and economic benefits to the patients, arising primarily from the reduced incidence of diabetes complications. 1% reduction in HbA1c was associated with reduced costs of treating diabetes complications and an increase in life expectancy. Health literacy module is one type of diabetic education approach which integrates self-efficacy and self-care behaviour into the module. The aim of the module was to reduce the HbA1c by giving knowledge on how to manage their own diabetes. METHODS: Study was done at a tertiary hospital in the Malaysian Armed Forces (MAF). The study design was a cost-effectiveness analysis where the cost-effectiveness ratio (CER) and incremental cost-effectiveness ratio (ICER) were calculated. The costs per unit of reducing HbA1c (%) was evaluated in both intervention and control groups. RESULTS: Total cost at final cost centre for the intervention group was RM68,113 while the total cost at final cost centre for the control group was RM67,206. The intervention was cost-effective with CER of 0.12 and ICER of RM 1,225 per HbA1c improvement. DISCUSSION: Therefore, health literacy module was cost-effective in reducing HbA1c among type 2 diabetic patients at MAF Tertiary Hospital.
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@proceedings{APCPH-2019-184,
title = {Health Literacy Module On Diabetic Patients: Is It Cost-Effective?},
author = {Saifulsyahira Jaaman and Muhamad Hanafiah Juni and Salmiah Md Said and MCommMed},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: Economic burden of diabetes was expected to continue to grow. A study had shown that up to 73% of diabetes-related healthcare costs result from hospitalization and ambulatory care, as a result of complications due to poor blood sugar control. Analysis has shown that improved glycemic control would be likely to bring substantial clinical and economic benefits to the patients, arising primarily from the reduced incidence of diabetes complications. 1% reduction in HbA1c was associated with reduced costs of treating diabetes complications and an increase in life expectancy. Health literacy module is one type of diabetic education approach which integrates self-efficacy and self-care behaviour into the module. The aim of the module was to reduce the HbA1c by giving knowledge on how to manage their own diabetes. METHODS: Study was done at a tertiary hospital in the Malaysian Armed Forces (MAF). The study design was a cost-effectiveness analysis where the cost-effectiveness ratio (CER) and incremental cost-effectiveness ratio (ICER) were calculated. The costs per unit of reducing HbA1c (%) was evaluated in both intervention and control groups. RESULTS: Total cost at final cost centre for the intervention group was RM68,113 while the total cost at final cost centre for the control group was RM67,206. The intervention was cost-effective with CER of 0.12 and ICER of RM 1,225 per HbA1c improvement. DISCUSSION: Therefore, health literacy module was cost-effective in reducing HbA1c among type 2 diabetic patients at MAF Tertiary Hospital.},
note = {Type: POSTER PRESENTATION; Organisation: Institute of Aviation Medicine, Royal Malaysian Air Force Base, Kuala Lumpur, Malaysia, Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang Selangor, Malaysia},
keywords = {cost-effectiveness, diabetes, HbA1c, health literacy, MAF Hospital},
pubstate = {published},
tppubtype = {proceedings}
}