Health care costs for employed hypertensives.

Health care costs for employed hypertensives.
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职业高血压患者的医疗保健费用。

DOI:
10.1097/00005650-199005000-00004
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发表时间:
1990
期刊:
影响因子:
3
通讯作者:
Sexton,M
Sexton,M
中科院分区:
医学3区
文献类型:
--
作者:
Hebel,JR;McCarter,RJ;Sexton,M

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医疗保险索赔用于跟踪就业人群与高血压相关的费用。根据工作场所进行的高血压筛查,员工被分为高血压(n = 373)、正常高值(n = 363)或正常血压(n = 2,411)。在三年期间对三组的索赔活动进行了监测,包括在工作现场进行筛查之前、期间和之后的时期。即使在调整了年龄、种族、性别、工资、婚姻状况和保险期限后,与血压正常或正常高值人群相比,高血压患者的每位员工平均索赔金额仍显着较高。在高正常血压和正常血压之间,每名员工的平均索赔金额没有显着差异。据估计,高血压患者的医疗费用比正常血压患者高出约 80%。医院、医生和护理费用约占这一增量的 50 个百分点,其余 30 个百分点来自药品费用。
Health care insurance claims were used to track costs associated with hypertension for an employed population. Employees were classified as hypertensive (n = 373), high normal (n = 363), or normotensive (n = 2,411) on the basis of hypertension screening done at the worksite. Claims activity was monitored for the three groups during a three-year period, including periods before, during, and after the screening done at the worksite. The average amount claimed per employee was significantly higher for the hypertensives as compared with the normotensives or high normals, even after adjustment for age, race, sex, salary, marital status, and duration of insurance coverage. There was no significant difference in the average amount claimed per employee between high normals and normotensives. The health care costs for hypertensives are estimated to be about 80% more than those for normotensives. Hospital, physicians, and nursing care accounts for about 50 percentage points of this increment while the remaining 30 percentage points derive from drug costs.
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DOI: --
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