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HEALTH CARE COST FOR EMPLOYED HYPERTENSIVES

在职高血压患者的医疗保健费用

基本信息

批准号：
3340153
负责人：
MARY J. SEXTON
金额：
$ 5.25万
依托单位：
UNIVERSITY OF MARYLAND BALTIMORE
依托单位国家：
美国
项目类别：
财政年份：
1983
资助国家：
美国
起止时间：
1983-09-01 至 1985-07-31
项目状态：
已结题

项目摘要

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).

这似乎与当今的职场晋升氛围迫在眉睫卫生计划，以确定不同支出的结果 BP 控制中雇主资助的计划。私营企业管理者需要就 bp 控制计划做出投资决策；他们会想知道他们投资于 bp 的每一美元控制的金额血压降低以及血压降低的后续影响（例如，已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做出决定，并需要详细、具体的成果和支出数据由他们。拟议的研究将解决一些相关问题从管理角度看医疗保健成本和收益。对于一个超过 3,000 名员工的队列，信息将从两个方面进行分析独立来源 (i) 一月份期间的 Blue Cross 保险索赔 1978 年 1 月 1 日至 1980 年 12 月 31 日以及 (ii) 问卷答复和巴尔的摩工作现场血压测量 1978 年 7 月至 1980 年 12 月期间进行的控制项目： (1) 至比较正常血压、高正常血压和高血压 (a) 美元 1978年、1979年保险公司支付的索赔金额和次数，和 1980 年，以及 (b) 各类索赔的美元金额和数量三年期间每六个月一次； (2) 估计按医疗保险索赔类型划分的美元金额和数量从确定的增量可归因于高血压高血压引起的索赔相对于高血压引起的索赔三年内无高血压（正常高值和高血压）时期; (3)研究高血压患者血压变化的影响之前和之后的保险索赔金额和数量比较（1978年、1979年、1980年）。