Cost of “Ideal Minimum Integrated Care” for Type 2 Diabetes and Hypertension Patients in Cambodia Context: Provider Perspective

Introduction: As in other countries worldwide, Diabetes mellitus type 2 (T2D) and hypertension (HTN) prevalence is increasing in Cambodia. The country is examining models to scale-up integrated T2D and HTN care. However, costs of integrated care in this setting are not yet well-understood. Thus, we...

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Main Authors: Sokunthea Yem, Srean Chhim, Edwin Wouters, Josefien Van Olmen, Por Ir, Grace Marie Ku
Format: Article
Language:English
Published: Ubiquity Press 2024-11-01
Series:International Journal of Integrated Care
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Online Access:https://account.ijic.org/index.php/up-j-ijic/article/view/7682
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author Sokunthea Yem
Srean Chhim
Edwin Wouters
Josefien Van Olmen
Por Ir
Grace Marie Ku
author_facet Sokunthea Yem
Srean Chhim
Edwin Wouters
Josefien Van Olmen
Por Ir
Grace Marie Ku
author_sort Sokunthea Yem
collection DOAJ
description Introduction: As in other countries worldwide, Diabetes mellitus type 2 (T2D) and hypertension (HTN) prevalence is increasing in Cambodia. The country is examining models to scale-up integrated T2D and HTN care. However, costs of integrated care in this setting are not yet well-understood. Thus, we modelled the cost of an “Ideal Minimum Integrated Care” (IMIC) package (detection, diagnosis, treatment + health education, self-management and follow-up) for T2D and HTN in Cambodia. Description: We visualised a package – IMIC – of effective interventions for T2D and HTN inspired by SCUBY-ICP and PEN. WHO NCD and HEART Costing Tools were adapted to estimate annual total IMIC intervention cost per health centre, cost per case and cost per capita. Discussion: Cost of the IMIC provides information on costs to aid decision-making on implementation. The Excel-based costing tool is easy to accomplish and can be replicated to provide more accurate results by using more precise actual input data, once these are available in the country. Conclusion: The projected costs of IMIC for T2D and HTN in Cambodia provides evidence to informed decision-making of relevant actors in implementing scale-up of IMIC for T2D and HTN. The model can be used in countries with similar context to calculate costs of integrated care.
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spelling doaj-art-d40c77f432db4bfdbed1f332b7ccc6612025-08-20T02:34:47ZengUbiquity PressInternational Journal of Integrated Care1568-41562024-11-01247710.5334/ijic.76827578Cost of “Ideal Minimum Integrated Care” for Type 2 Diabetes and Hypertension Patients in Cambodia Context: Provider PerspectiveSokunthea Yem0https://orcid.org/0000-0002-1432-0684Srean Chhim1https://orcid.org/0000-0003-1558-1875Edwin Wouters2https://orcid.org/0000-0003-2268-3829Josefien Van Olmen3https://orcid.org/0000-0001-9724-1887Por Ir4https://orcid.org/0000-0003-3493-2749Grace Marie Ku5https://orcid.org/0000-0002-4276-9104National Institute of Public Health (NIPH), Phnom PenhNational Institute of Public Health (NIPH), Phnom PenhCentre for Population, Family & Health, Department of Social Sciences, University of Antwerp, Antwerp, BE; Centre for Health Systems Research & Development, University of the Free State, BloemfonteinDepartment of Family Medicine and Population Health (FAMPOP), Faculty of Medicine and Health Sciences, University of AntwerpNational Institute of Public Health (NIPH), Phnom PenhDepartment of Public Health, Institute of Tropical Medicine, Antwerp; Department of Gerontology, Faculty of Medicine and Pharmacy, Vrije Universiteit BrusselIntroduction: As in other countries worldwide, Diabetes mellitus type 2 (T2D) and hypertension (HTN) prevalence is increasing in Cambodia. The country is examining models to scale-up integrated T2D and HTN care. However, costs of integrated care in this setting are not yet well-understood. Thus, we modelled the cost of an “Ideal Minimum Integrated Care” (IMIC) package (detection, diagnosis, treatment + health education, self-management and follow-up) for T2D and HTN in Cambodia. Description: We visualised a package – IMIC – of effective interventions for T2D and HTN inspired by SCUBY-ICP and PEN. WHO NCD and HEART Costing Tools were adapted to estimate annual total IMIC intervention cost per health centre, cost per case and cost per capita. Discussion: Cost of the IMIC provides information on costs to aid decision-making on implementation. The Excel-based costing tool is easy to accomplish and can be replicated to provide more accurate results by using more precise actual input data, once these are available in the country. Conclusion: The projected costs of IMIC for T2D and HTN in Cambodia provides evidence to informed decision-making of relevant actors in implementing scale-up of IMIC for T2D and HTN. The model can be used in countries with similar context to calculate costs of integrated care.https://account.ijic.org/index.php/up-j-ijic/article/view/7682ideal minimum integrated carescaling-upcost modellingbuilt-modelinput parameters
spellingShingle Sokunthea Yem
Srean Chhim
Edwin Wouters
Josefien Van Olmen
Por Ir
Grace Marie Ku
Cost of “Ideal Minimum Integrated Care” for Type 2 Diabetes and Hypertension Patients in Cambodia Context: Provider Perspective
International Journal of Integrated Care
ideal minimum integrated care
scaling-up
cost modelling
built-model
input parameters
title Cost of “Ideal Minimum Integrated Care” for Type 2 Diabetes and Hypertension Patients in Cambodia Context: Provider Perspective
title_full Cost of “Ideal Minimum Integrated Care” for Type 2 Diabetes and Hypertension Patients in Cambodia Context: Provider Perspective
title_fullStr Cost of “Ideal Minimum Integrated Care” for Type 2 Diabetes and Hypertension Patients in Cambodia Context: Provider Perspective
title_full_unstemmed Cost of “Ideal Minimum Integrated Care” for Type 2 Diabetes and Hypertension Patients in Cambodia Context: Provider Perspective
title_short Cost of “Ideal Minimum Integrated Care” for Type 2 Diabetes and Hypertension Patients in Cambodia Context: Provider Perspective
title_sort cost of ideal minimum integrated care for type 2 diabetes and hypertension patients in cambodia context provider perspective
topic ideal minimum integrated care
scaling-up
cost modelling
built-model
input parameters
url https://account.ijic.org/index.php/up-j-ijic/article/view/7682
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