Universal Journal of Public Health Vol. 10(2), pp. 219 - 225
DOI: 10.13189/ujph.2022.100208
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A Cost-Effectiveness Analysis of Self-Monitoring Blood Glucose Practice in Type 2 Diabetes Mellitus Patients in a Teaching Hospital

Aniza Ismail ¹, Saperi Sulong ², Leny Suzana Suddin ^3,*
1 Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia
² Department of Health Information, Faculty of Medicine, Universiti Kebangsaan Malaysia
³ Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA, Malaysia

ABSTRACT

Self-monitoring blood glucose (SMBG) practice had been recognized as one of the important components in the management of patients with T2DM. It was found that this practice was associated with improved glycemic control and decreased risk of disease complications that lead to improvement in quality of life (QOL). In the era of rising healthcare costs and the increasing prevalence of T2DM, an economic evaluation of this practice is needed. Therefore, the main purpose of this study was to measure the cost-effectiveness of SMBG practice among T2DM patients by using the decision analytical model. An economic evaluation in the form of a cost-effectiveness analysis study was conducted among hospitalized T2DM patients in a teaching hospital. Data collection was conducted using a costing checklist and case report form. The costing analysis was conducted using a decision analytical model which involved theoretical model building and testing of primary data from a prospective cross-sectional study. A total of 100 patients participated in this study. The estimated mean for the total annual patients' cost for the patient not practicing SMBG and practicing SMBG was RM 76.82 (SD + RM2.43) and RM 609.83 (SD + RM 2.66), respectively. The cost difference was statistically (t [98] = -11.1, p=<0.05). The incremental cost-effectiveness ratio (ICER) was RM 10,165.19 per quality-adjusted life year (QALY). Sensitivity analysis showed that the probability of improvement in glycemic control with SMBG practice was the key parameter in this model. Therefore, the SMBG practice in T2DM patients was found to be cost-effective and should be advocated among T2DM patients. Despite its limitation in terms of the structural uncertainty, the finding from this study would provide valuable information to policymakers in the aspect of health care financing allocation. Future research by using complex cost modeling is recommended to explore other cost determinants for SMBG practice.

KEYWORDS
Cost-Effectiveness Analysis, Self-Monitoring Blood Glucose, Type 2 Diabetes Mellitus, Patients

Cite This Paper in IEEE or APA Citation Styles
(a). IEEE Format:
[1] Aniza Ismail , Saperi Sulong , Leny Suzana Suddin , "A Cost-Effectiveness Analysis of Self-Monitoring Blood Glucose Practice in Type 2 Diabetes Mellitus Patients in a Teaching Hospital," Universal Journal of Public Health, Vol. 10, No. 2, pp. 219 - 225, 2022. DOI: 10.13189/ujph.2022.100208.

(b). APA Format:
Aniza Ismail , Saperi Sulong , Leny Suzana Suddin (2022). A Cost-Effectiveness Analysis of Self-Monitoring Blood Glucose Practice in Type 2 Diabetes Mellitus Patients in a Teaching Hospital. Universal Journal of Public Health, 10(2), 219 - 225. DOI: 10.13189/ujph.2022.100208.