Viet Tuan Nguyen*, Oanh Mai Tran, Phuong Khanh Nguyen, Duc Anh Ha, Hoa L. Nguyen, Robert J Goldberg, Jeroan J. Allison and Neil S. Fleming
Between 2020 and 2021, stakeholders implemented a multi-faceted community-based intervention in response to the escalating issue of uncontrolled hypertension in Hung Yen province, Vietnam. This initiative integrated expanded community health worker services, home blood pressure self-monitoring, and a unique “storytelling intervention” into routine clinical care. From the limited societal perspective, our study evaluates the cost-effectiveness of this intervention using a Markov model with a 1 year cycle over a lifetime horizon. The analysis, based on a cohort of 671 patients, reveals a lifetime incremental cost of approximately VND 90.37 million (USD 3,930) per Quality Adjusted Life Year (QALY) gained. With a willingness to pay at 3 times GDP (VND 259.2 million per QALY), the intervention proves cost-effective 80% of the time. This research underscores the potential of the community-based approach to effectively control hypertension, offering valuable insights into its broader implications for public health.
Published Date: 2024-07-01; Received Date: 2024-05-30
