An economic evaluation of a primary care-based technology-enabled intervention for stroke secondary prevention and management in rural China: a study protocol

被引：3
作者：
Gong, Enying [1 ]
Yang, Bolu [2 ]
Chen, Xingxing [2 ,3 ]
Li, Yuhan [2 ]
Li, Zixiao [4 ]
Bettger, Janet Prvu [5 ]
Oldenburg, Brian [6 ,7 ]
Dong, Dejin [8 ]
Si, Lei [9 ,10 ]
Yan, Lijing L. [2 ,3 ,11 ]
机构：
[1] Chinese Acad Med Sci & Peking Union Med Coll, Sch Populat Med & Publ Hlth, Beijing, Peoples R China
[2] Duke Kunshan Univ, Global Hlth Res Ctr, Kunshan, Peoples R China
[3] Wuhan Univ, Sch Publ Hlth, Wuhan, Peoples R China
[4] Capital Med Univ, Beijing Tiantan Hosp, Beijing, Peoples R China
[5] Temple Univ, Coll Publ Hlth, Philadelphia, PA USA
[6] La Trobe Univ, Acad & Res Collaborat Hlth, Melbourne, Vic, Australia
[7] Baker Heart & Diabet Inst, NHMRC CRE Digital Technol Transform Chron Dis Outc, Melbourne, Vic, Australia
[8] Xingtai Ctr Dis Control & Prevent, Xingtai, Hebei, Peoples R China
[9] Western Sydney Univ, Sch Hlth Sci, Campbelltown, NSW, Australia
[10] Western Sydney Univ, Translat Hlth Res Inst, Penrith, NSW, Australia
[11] Wenzhou Med Univ, Ningbo Eye Hosp, Ningbo, Peoples R China
来源：
FRONTIERS IN NEUROLOGY | 2023年 / 14卷
基金：
美国国家科学基金会; 英国惠康基金; 英国医学研究理事会;
关键词：
stroke; economic evaluation; cost-utility analysis; cost-effectiveness analysis; secondary stroke prevention; COST-EFFECTIVENESS; BLOOD-PRESSURE; BUDGET IMPACT; HEALTH; HYPERTENSION; SYSTEM; REDUCTION; MORTALITY; PROGRAM; COBIN;
D O I：
10.3389/fneur.2023.1145562
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Introduction: Secondary prevention of stroke is a leading challenge globally and only a few strategies have been tested to be effective in supporting stroke survivors. The system-integrated and technology-enabled model of care (SINEMA) intervention, a primary care-based and technology-enabled model of care, has been proven effective in strengthening the secondary prevention of stroke in rural China. The aim of this protocol is to outline the methods for the cost-effectiveness evaluation of the SINEMA intervention to better understand its potential economic benefits.Methods: The economic evaluation will be a nested study based on the SINEMA trial; a cluster-randomized controlled trial implemented in 50 villages in rural China. The effectiveness of the intervention will be estimated using quality-adjusted life years for the cost-utility analysis and reduction in systolic blood pressure for the cost-effectiveness analysis. Health resource and service use and program costs will be identified, measured, and valued at the individual level based on medication use, hospital visits, and inpatients' records. The economic evaluation will be conducted from the perspective of the healthcare system.Conclusion:The economic evaluation will be used to establish the value of the SINEMA intervention in the Chinese rural setting, which has great potential to be adapted and implemented in other resource-limited settings.
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页数：7
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