BACKGROUND: @entity6 contributes substantially to the non-communicable disease burden in South Africa. The proposed National Health Insurance system provides an opportunity to consider the development of a cost-effective capitation model of care for @entity1 with @entity164 2 @entity6 . The objective of the study was to determine the potential cost-effectiveness of adapting a private sector @entity6 management programme (DMP) to the South African public sector. METHODS: Cost-effectiveness analysis was undertaken with a public sector model of the DMP as the intervention and a usual practice model as the comparator. Probabilistic modelling was utilized for incremental cost-effectiveness ratio analysis with life years gained selected as the outcome. Secondary data were used to design the model while cost information was obtained from various sources, taking into account public sector billing. RESULTS: Modelling found an incremental cost-effectiveness ratio (ICER) of ZAR 8 356 (USD 1018) per @entity1017 ( @entity1017 ) for the DMP against the usual practice model. This fell substantially below the Willingness-to-Pay threshold with bootstrapping analysis. Furthermore, a national implementation of the intervention could potentially result in an estimated cumulative gain of 96 997  years of life (95% CI 71 073  years - 113 994  years). CONCLUSIONS: Probabilistic modelling found the capitation intervention to be cost-effective, with an ICER of ZAR 8 356 (USD 1018) per @entity1017 . Piloting the service within the public sector is recommended as an initial step, as this would provide data for more accurate economic evaluation, and would also allow for qualitative analysis of the programme.

Applying a private sector capitation model to the management of @entity164 2 XXXX in the South African public sector: a cost-effectiveness analysis.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1017 :: ('MESH:D015430', 'Disease') :: ['LYG', 'life year gained'] @entity164 :: ('MESH:D017827', 'Disease') :: ['type'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes', 'Diabetes mellitus']
@entity6 :: (MESH:D003920,Disease) :: ['diabetes']
