Cost effectiveness in hypertension management.

Details

• Personal Author:
  Stason WB
• Description:
  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.
• Subjects:
  Accidents, Occupational Automobiles Construction Industry Construction Materials Environmental Health Morbidity Mortality Occupational Exposure Occupational Health Occupational Injuries Safety Workplace

  More +
• Keywords:
  Blood-pressure Cardiovascular-function-tests Medical-treatment Occupational-health-services Occupational-medicine Physical-exercise Physical-fitness Worker-health
• Publisher:
  National Institute for Occupational Safety and Health
• Document Type:
  Text
• Genre:
  Conference/Symposia Proceedings
• Place as Subject:
  Massachusetts ; Missouri ; Ohio ; OSHA Region 1 ; OSHA Region 5 ; OSHA Region 7
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  178-189
• NIOSHTIC Number:
  nn:00184900
• Citation:
  Occupational safety and health symposia 1977. Cincinnati, OH: U.S. Department of Health, Education, and Welfare, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, DHEW (NIOSH) Publication No. 78-169, 1978 Jun; :178-189
• Federal Fiscal Year:
  1978
• Peer Reviewed:
  False
• Source Full Name:
  Occupational safety and health symposia 1977
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:dd6a29e28ad5d7fb1bb64bfd6ef81e0e8a6a682a3827792ecbf6a4d51ca7f1474aaed8768ac1ebd77b1c60b1fbdcd09a3ac37a1863973fb95edfb6aac022c632
• Download URL:
  https://stacks.cdc.gov/view/cdc/180182/cdc_180182_DS1.pdf
• File Type:
  [PDF - 1.55 MB ]