HEALTH CARE COST FOR EMPLOYED HYPERTENSIVES

在当今工地晋升的氛围下，这似乎是迫在眉睫的相关问题 卫生计划，以确定不同支出的结果 雇主赞助的BP控制计划。私营企业的管理者 需要做出关于BP控制程序的投资决策；他们将 我想知道他们向BP投资的每一美元控制着 BP的降低和BP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 员工旷工)。归根结底，只有经理们才能做到这些 需要作出决定，以及详细、具体的成果和支出数据 被他们杀了。拟议的研究将解决与以下方面有关的一些问题 从管理角度看医疗保健的成本和效益。为. 超过3,000名员工的队列，信息将从两个 独立消息来源(一)蓝十字#月期间的保险索赔 1978年1日至1980年12月31日及(Ii)问卷回覆及 巴尔的摩工地的血压测量 1978年7月至1980年12月期间进行的管制工程：(1)至 比较正常血压、正常高血压和高血压患者(A)美元 1978年、1979年保险承运人支付的索赔金额和数量， 及(B)每类索偿的金额及数目 在三年内每隔六个月；。(二)估计 按医疗保险索赔类型划分的金额和数量，可以 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 三年内非高血压患者(包括正常高血压者和高血压患者) (3)研究高血压患者血压变化的影响 论保险理赔前后的金额和数量 比较(1978年对1979年对1980年)。

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).