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

Enying Gong, Bolu Yang, Xingxing Chen, Yuhan Li, Zixiao Li, Janet Prvu Bettger, Brian Oldenburg, Dejin Dong, Lei Si, Lijing L. Yan

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1 Citation (Scopus)

Abstract

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.
Original languageEnglish
Article number1145562
Number of pages7
JournalFrontiers in Neurology
Volume14
Publication statusPublished - 2023

Bibliographical note

Publisher Copyright:
Copyright © 2023 Gong, Yang, Chen, Li, Li, Bettger, Oldenburg, Dong, Si and Yan.

Open Access - Access Right Statement

© 2023 Gong, Yang, Chen, Li, Li, Bettger, Oldenburg, Dong, Si and Yan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

Notes

WIP in RD

Keywords

  • cost-utility analysis
  • economic evaluation
  • cost-effectiveness analysis
  • secondary stroke prevention
  • stroke

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