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4.3  THE FINANCIAL IMPACT OF A SCHEME
                    TO PROMOTE DIABETES MELLITUS

                    SCREENING AND MANAGEMENT


            Beyond gaining perspectives from key stakeholders and the public, it is critical to further
            explore the financial feasibility of implementing the Chronic Disease Screening
            Voucher and Management Scheme (CDSVMS, also addressed as the “Scheme”) to
            be designed. With a view towards understanding potential costs and using only diabetes
            mellitus as a proxy for the implementation of the Scheme, we conducted an economic
            analysis of possible forms of the Scheme over a 30-year time horizon with the target
            audience–individuals between the age of 45–54 at the beginning of the projected time
            horizon. We present findings from a Budget Impact Analysis (BIA) that would provide health
            system planners and policymakers with a clearer view of the investment needed in
            implementing this large-scale screening programme and would additionally showcase the
            cost-benefits to the health system and budget if implemented.


            4.3.1  DIABETES DISEASE PROFILE AND LITERATURE
                    REVIEW

            Diabetes mellitus (DM) is a serious chronic condition that occurs either when the pancreas is
            unable to produce enough insulin (a hormone that regulates blood sugar or glucose),
            categorised as Type 1 diabetes, or when the body is unable to effectively use the insulin
            it produces, categorised as Type 2 diabetes. DM has become an important area of
            global discourse due to its rising prevalence, associated health complications, and
            economic impact.
















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