An economic evaluation of a primary care-based technology-enabled intervention for stroke secondary prevention and management in rural China: a study protocol
IntroductionSecondary 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...
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| Format: | Article |
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1145562/full |
| _version_ | 1827955990241214464 |
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| author | Enying Gong Bolu Yang Xingxing Chen Xingxing Chen Yuhan Li Zixiao Li Janet Prvu Bettger Brian Oldenburg Brian Oldenburg Dejin Dong Lei Si Lei Si Lijing L. Yan Lijing L. Yan Lijing L. Yan |
| author_facet | Enying Gong Bolu Yang Xingxing Chen Xingxing Chen Yuhan Li Zixiao Li Janet Prvu Bettger Brian Oldenburg Brian Oldenburg Dejin Dong Lei Si Lei Si Lijing L. Yan Lijing L. Yan Lijing L. Yan |
| author_sort | Enying Gong |
| collection | DOAJ |
| description | IntroductionSecondary 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.MethodsThe 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.ConclusionThe 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. |
| first_indexed | 2024-04-09T14:56:34Z |
| format | Article |
| id | doaj.art-9531fce1232e43dcae401db318c94d7d |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-09T14:56:34Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-9531fce1232e43dcae401db318c94d7d2023-05-02T04:57:43ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-05-011410.3389/fneur.2023.11455621145562An economic evaluation of a primary care-based technology-enabled intervention for stroke secondary prevention and management in rural China: a study protocolEnying Gong0Bolu Yang1Xingxing Chen2Xingxing Chen3Yuhan Li4Zixiao Li5Janet Prvu Bettger6Brian Oldenburg7Brian Oldenburg8Dejin Dong9Lei Si10Lei Si11Lijing L. Yan12Lijing L. Yan13Lijing L. Yan14School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaGlobal Health Research Center, Duke Kunshan University, Kunshan, ChinaGlobal Health Research Center, Duke Kunshan University, Kunshan, ChinaSchool of Public Health, Wuhan University, Wuhan, ChinaGlobal Health Research Center, Duke Kunshan University, Kunshan, ChinaBeijing Tiantan Hospital, Capital Medical University, Beijing, ChinaCollege of Public Health, Temple University, Philadelphia, PA, United StatesAcademic and Research Collaborative in Health, La Trobe University, Melbourne, VIC, AustraliaNHMRC CRE in Digital Technology to Transform Chronic Disease Outcomes, Baker Heart and Diabetes Institute, Melbourne, VIC, AustraliaXingtai Center for Disease Control and Prevention, Xingtai, Hebei, ChinaSchool of Health Sciences, Western Sydney University, Campbelltown, NSW, Australia0Translational Health Research Institute, Western Sydney University, Penrith, NSW, AustraliaGlobal Health Research Center, Duke Kunshan University, Kunshan, ChinaSchool of Public Health, Wuhan University, Wuhan, China1Ningbo Eye Hospital, Wenzhou Medical University, Ningbo, ChinaIntroductionSecondary 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.MethodsThe 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.ConclusionThe 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.https://www.frontiersin.org/articles/10.3389/fneur.2023.1145562/fullstrokeeconomic evaluationcost-utility analysiscost-effectiveness analysissecondary stroke prevention |
| spellingShingle | Enying Gong Bolu Yang Xingxing Chen Xingxing Chen Yuhan Li Zixiao Li Janet Prvu Bettger Brian Oldenburg Brian Oldenburg Dejin Dong Lei Si Lei Si Lijing L. Yan Lijing L. Yan Lijing L. Yan An economic evaluation of a primary care-based technology-enabled intervention for stroke secondary prevention and management in rural China: a study protocol Frontiers in Neurology stroke economic evaluation cost-utility analysis cost-effectiveness analysis secondary stroke prevention |
| title | An economic evaluation of a primary care-based technology-enabled intervention for stroke secondary prevention and management in rural China: a study protocol |
| title_full | An economic evaluation of a primary care-based technology-enabled intervention for stroke secondary prevention and management in rural China: a study protocol |
| title_fullStr | An economic evaluation of a primary care-based technology-enabled intervention for stroke secondary prevention and management in rural China: a study protocol |
| title_full_unstemmed | An economic evaluation of a primary care-based technology-enabled intervention for stroke secondary prevention and management in rural China: a study protocol |
| title_short | An economic evaluation of a primary care-based technology-enabled intervention for stroke secondary prevention and management in rural China: a study protocol |
| title_sort | economic evaluation of a primary care based technology enabled intervention for stroke secondary prevention and management in rural china a study protocol |
| topic | stroke economic evaluation cost-utility analysis cost-effectiveness analysis secondary stroke prevention |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1145562/full |
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