Cost-effectiveness of a worksite hypertension treatment program.
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TLDR
The findings support health policies that favor allocating resources to work-based hypertension treatment programs for the target group identified in this study, indicating that the worksite program was substantially more costeffective.Abstract:
The cost-effectiveness of treating hypertension at the patient's place of work was compared in a randomized controlled trial with care delivered in a community. The average total cost per patient for worksite care in this 12-month study was not significantly different from that for regular care ($242.86 +/- 6.94 vs $211.34 +/- 18.66, mean +/- SEM). The worksite health system cost was significantly more expensive ($197.36 +/- 4.99 vs $129.33 +/- 13.34, p less than 0.001) but the patient cost was significantly less ($45.40 +/- 3.23 vs $82.00 +/- 6.20, p less than 0.01). The mean reduction in diastolic blood pressure (BP) at the year-end assessment was significantly greater in the worksite group (12.1 +/- 0.6 vs 6.5 +/- 0.6 mm Hg, p less than 0.001). The incremental cost-effectiveness ratio of $5.63 per mm Hg for worksite care was less than the base cost-effectiveness ratio of $32.51 per mm Hg for regular care, indicating that the worksite program was substantially more cost-effective. Our findings support health policies that favor allocating resources to work-based hypertension treatment programs for the target group identified in this study.read more
Citations
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References
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Journal ArticleDOI
Hypertension in the Inner City II. Detection and Follow-up
TL;DR: Sixty-one percent (6480 of 10,564) of the subjects in three census tracts were screened simply and efficiently in supermarkets, and it was demonstrated that dropouts could be reduced to under 5% by scheduling the verification visit 24-48 hours after initial screening.
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Detection and Treatment of Hypertension at the Work Site
TL;DR: A program linking detection to treatment was designed to improve blood-pressure control among adults with asymptomatic, uncomplicated hypertension and appears to be a safe, effective, and acceptable method for hypertension control in large numbers of patients.
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WORK-SITE TREATMENT OF HYPERTENSION BY SPECIALLY TRAINED NURSES: A Controlled Trial
TL;DR: The clinical efficacy of using specially trained nurses to treat hypertension at a patient's place of work was compared in a controlled trial with management by the patient's family doctor as mentioned in this paper, which resulted in significantly improved blood pressure control and medication compliance among employees with asymptomatic and uncomplicated hypertension.
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Current Status of Hypertension Control in an Industrial Population
TL;DR: It is reasonable to infer that the consequences of hypertension in women will be ameliorated by effective treatment, and it is likely that for patients with the mildest degrees of hypertension, treatment will be beneficial.