Costs and outcomes of self management support programs for type 2 diabetic patients in Bangkok,Thailand

Abstract

This study aimed to evaluate the cost, cost-effectiveness, and cost utility of four models of DM-SMS programs in Bangkok context. Three types of cost analysis including (1) Cost-minimization analysis, (2) Cost-effectiveness analysis, and; (3) Cost-utility analysis were performed in the context of four prospective alongside clinical trials that aiming to examine the effectiveness of the health professional-led, peer-led, telephone-based, and web-based DM-SMS programs among type 2 diabetic patients aged >20 years, glycated hemoglobin or HbA1c>7%, and seeking healthcare for selected hospitals and public health centers in Bangkok. These economic analyses were in both the provider and societal perspectives. The results showed that self-management support by automatic telephone is not expensive including the first choice among self-management programs. Self-management support by website is the second choice. Finally, Self-management support by health personnel is the third choice in area of Bangkok. (societal perspective)