Cost Effectiveness in Hypertension Management.
NIOSH 1978 Jun:178-189
The cost effectiveness of industrial hypertension management programs was reviewed with regard to clinical decision making by the industrial practitioner. Efforts to detect and manage hypertension in industrial settings were warranted by the rising costs of training skilled personnel. Such efforts included programs to reduce stress, and encourage exercise and healthy dietary habits. The net cost of hypertension was determined by the difference between the direct costs in medical care and the indirect costs including the savings due to prevented morbidity, early treatment of side effects, and added years of life. Cost effectiveness ratios for various hypertension treatment programs were presented and discussed in relation to gender and the pretreatment level of blood pressure. Priority setting rationales for initiating treatment and allocating efforts toward achieving blood pressure control in different categories of patients were described based on various combinations of age, the pretreatment diastolic blood pressure, and specific values of the cost effectiveness ratio. Implications for treatment programs due to partial or nonadherence to antihypertensive regimens or to the failure of proper referral and follow up of newly identified hypertensive patients were discussed.
Occupational-medicine; Worker-health; Physical-fitness; Cardiovascular-function-tests; Occupational-health-services; Physical-exercise; Medical-treatment; Blood-pressure;
Occupational Safety and Health Symposia, 1977, Division of Technical Services, NIOSH, U.S. Department of Health, Education, and Welfare, Cincinnati, Ohio, DHEW (NIOSH) Publication No. 78-169