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Economic Evaluation of Cardiovascular and Diabetes Prevention in Primary Care: A Systematic Review Ramadhan, Aulia Abdillah; Sari, Kurnia
Majalah Ilmiah Bijak Vol. 22 No. 2: September 2025
Publisher : Institut Ilmu Sosial dan Manajemen STIAMI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31334/bijak.v22i2.5487

Abstract

Cardiovascular disease (CVD) and diabetes are major contributors to global morbidity and mortality. Prevention programs implemented in primary care settings—such as the WHO HEARTS initiative and lifestyle-based diabetes interventions—have gained attention for their potential clinical and economic impact. To systematically review economic evaluations of cardiovascular and diabetes prevention programs delivered in primary health care, focusing on cost-related outcomes and economic value. A systematic search of PubMed, Scopus, and ScienceDirect identified studies published from 2016 to 2025 that reported economic outcomes of CVD or diabetes prevention interventions in primary or community healthcare. Data extracted included intervention types, cost estimates, quality-adjusted life years (QALYs), incremental cost-effectiveness ratios (ICERs), and cost drivers. Study quality was assessed using the CHEERS checklist. Twelve studies met inclusion criteria. Most demonstrated favorable cost-effectiveness, with ICERs ranging from USD 105 to USD 14,011 per QALY. Integrated programs addressing both hypertension and diabetes were generally more cost-efficient. Medications, diagnostics, and human resources were the primary cost drivers. Economic evaluations indicate that preventive interventions for CVD and diabetes in primary care are cost-effective across various health system contexts. Scalable models like HEARTS, when adapted locally, can support both health impact and efficient resource use
Co-Authors A E, Yon Achiriah Adang Bachtiar Ahmad Rofi Suryahadikusumah Alghifari, Muhammad Dzaki Alimun, Fadhlya Hidayattul Amirah, Fitria Angeline, Maharani Eria Angi, Ivana Sofia Ardhita, Anggun Agia Athiyah, Athiyah Aulia Abdillah Ramadhan, Aulia Abdillah Aulia, Davina Ayuddin Azzahra, Fatma Bianca, Gabriela Budi Hidayat Dwisari, Gustiane Adriani Eka Putri Eka, Shella Cahya Elaza, Fajar Rhenzy Elieser Eriawati Eriawati Fadhila, Dian Farianti, Yuli Gunawan Ali, Gunawan Hery Suliantoro Hudori, Mahfuz Ika Parma Dewi Indah Listiana Indah Nurmayasari Istiqoma, Vella Auliya James Thimoty Jamil, Khoirul Januar Eko Aryansah Julaiha, Julaiha Kautsar, Muhamad Al-Kautsar Al- Khairunnisa Khairunnisa Lina Rahmawati Mangunsong, Emmy Ridhawaty Mardiana, Anis Marlen, Sendy Megraini, Amila Mukhlisa, Mazda Novi Mutiara, Nafisa Nadjib, Mardiati Naser, Muhammad Nikman Nugrahani, Annisa Dewita Nurlia Zahara Nurwahyuni, Atik Ollivia, Jogita Pesha, Indry Nirma Yunizul Prastuti Soewondo Purnawan Adi Wicaksono Purnawan Junadi Putri Rahmadani, Putri Putri, Az-zahra Atika Qulsum, Meily Arovi Rachmaningsih, Firda Safitri Rahma, Filza Mulya Ramadani, Okta Rohmatun , Nikmah Salsabila, Atira Balqis Salsabila, Isna Mutiara Samsul Kamal Sari, Eva Kurnia Sayekti, Sekar Arum Handarbeni Sjaaf, Amal Chalik Soepratikno, Serly Silviyanti Srikanti, Nurul Ayu Suci Rahma Putri Sundjaya, Tonny Syska Purnama Sari, Syska Purnama Taufiq, KM Thimoty, James Timeida, Milya Tria Fatmala, Cici Ul 'Izzah, Nida Valliant, Renaldy Wahyuningsih, Helmi Warsan, Warsan Yuhaswita, Yuhaswita Yunita Yunita Yusron Abda'u Ansya Zata Ismah ZURAIDAH ZURAIDAH