HEALTH CARE COST FOR EMPLOYED HYPERTENSIVES

在当今职场晋升的大气候下， 健康计划，以确定不同支出的结果， 雇主赞助的BP控制计划。 私营企业管理人员 需要就BP控制计划做出投资决策;他们将 我想知道他们在英国石油公司投资的每一美元， BP的降低和BP降低的后续影响（例如， 支付的索赔数量，以及对保险费用的具体影响，或 员工缺勤）。 最终只有管理者才能做到这些 需要作出决定，并需要详细、具体的成果和支出数据 被他们。 拟议的研究将处理一些与以下方面有关的问题： 从管理的角度看医疗成本和效益。 用于 超过3,000名员工的队列，信息将从两个分析 （一）2004年1月1日至2005年1月31日期间蓝十字保险索赔 （二）1978年1月1日至1980年12月31日的调查问卷， 来自巴尔的摩工作场所的血压测量值血压 1978年7月至1980年12月进行的控制项目：（1）至 比较正常血压、高正常血压和高血压患者（a）美元 1978年、1979年、1979年和1979年保险公司支付的索赔额和索赔次数 （B）每类索赔的美元数额和数目， （2）在三年内每隔六个月;（3）估计 按医疗保险索赔类型分列的美元金额和数量， 高血压是由高血压引起的， 高血压患者的索赔相对于 非高血压患者（包括高正常值和高血压患者） （3）研究高血压患者血压变化的影响 保险索赔的金额和数量 比较（1978 vs 1979 vs 1980）。

It seems imminently relevant in today's climate of promotion to worksite health programs to determine the outcomes for different expenditures of an employer-sponsored program in bp control. Managers of private industry need to make investment decisions regarding bp control programs; they would like to know for each dollar they invest in bp control the amount of reduction in bp and the subsequent effects of bp reduction (for example, on the number of claims paid, and the specific effects on insurance costs, or employee absenteeism). It is ultimately only managers who can make these decisions, and detailed, specific outcomes and expenditure data are needed by them. The proposed study will address some of the issues relevant to health care costs and benefits from the perspective of management. For a cohort of over 3,000 employees, information will be analyzed from two independent sources (i) Blue Cross insurance claims for the period January 1, 1978 through December 31, 1980 and (ii) questionnaire responses and blood pressure measurements from the Baltimore Worksite Blood Pressure Control Project conducted between July 1978 and December 1980: (1) to compare for normotensives, high normals, and hypertensives (a) the dollar amount and number of claims paid by the insurance carrier for 1978, 1979, and 1980, and (b) the dollar amount and number of each type of claim for each six-month interval in the three-year period; (2) to estimate the dollar amount and number by type of health care insurance claims which can be attributed to hypertension from a determination of the increment in claims incurred by hypertensives relative to those incurred by non-hypertensives (both high normals and hypertensives) over the three-year period; (3) to study the effect of blood pressure change in hypertensives on the dollar amount and number of insurance claims by before and after comparisons (1978 vs 1979 vs 1980).