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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

Economic Evaluation of the Good Life Club Intervention for Diabetes Self-Management

Duncan Mortimer and Jill Kelly

Australian Journal of Primary Health 12(1) 91 - 100
Published: 2006

Abstract

This paper reports results from an economic evaluation of the Good Life Club (GLC), a self-management intervention for type II diabetes. Based on intention to treat data at 18-month follow-up, 39% of GLC clients were well-managed compared to just 30% at baseline. This gives a risk difference of 0.09 (95%CI: 0.01, 0.16) and a relative risk of being well-managed equal to 1.28 (95%CI: 1.04, 1.58) for the GLC intervention as compared to usual care. Based on detailed description of the GLC intervention, client-level data as to service utilisation and published unit costs, the incremental cost per client of the GLC intervention as compared to usual care was calculated at $1,457 in the base case analysis. Combining estimates of incremental cost and treatment effect implies an incremental cost-effectiveness ratio of just over $16,000 per additional responder (client with well-managed type II diabetes) in the base-case analysis. Additional cost savings are, however, expected to accrue in future years because well-managed diabetes is less likely than usual care to result in diabetes-related complications.

https://doi.org/10.1071/PY06013

© La Trobe University 2006

Committee on Publication Ethics


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