Why the study?
Are self-monitoring, health professional led care, and organization driven care interventions cost-effective for improving blood pressure control in Nigerian hypertensive female patients?
Are self-monitoring, health professional led care, and organization driven care interventions cost-effective for improving blood pressure control in Nigerian hypertensive female patients?
This study evaluates the cost-effectiveness of self-monitoring, health professional-led care, and organization-driven care for hypertension management in low-resource settings like Nigeria.
May guide hypertension care models in low-resource settings; leaves open optimal strategies without prospective trials.
Objectives:Prevalence of hypertension is on the rise in most African countries while control remains poor. In the literature, there are effective interventions which could be implemented in hospitals of low r esource setting such as Nigeria to improve control of blood pressure. This study aimed to evaluate the cost -effectiveness of three of such interventions namely: self -monitoring; health professional led care; and organization driven care interventions. Methods: A Markov model was used to represent a life cycle of Nigerian hypertensive female patients in low risk of having a cardiovascular event. Health care costs were obtained from existing databases and calibrated to Nigerian setting or derived through a cost analysis using a Nigerian hospital. Costs were presented in 2013 US dollars value. Uncertainties in the input parameters used in the analyses were captured using distributions appropriate for each parameter. Probabilistic cost -effectiveness analysis was performed using Markov Chain Monte Carlo simulation, and presented as cost
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Obinna Ikechukwu Ekwunife (2014) studied this question.
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