PMID: 11310193Apr 20, 2001Paper

Impact of poorly controlled hypertension on healthcare resource utilization and cost

The American Journal of Managed Care
L C ParamoreD Bates

Abstract

To examine the relation between blood pressure (BP) control and utilization and cost of healthcare resources. A retrospective database study of managed care patients in New Mexico from January 1, 1996, to December 31, 1997. We stratified 1000 hypertensive patients into categories based on average and maximum BP. Antihypertensive medication use and cost, number of physician visits, and interval between hypertension-related physician visits were determined. Medication costs increased progressively across all BP categories from lowest to highest, and higher average systolic BP (SBP) was significantly correlated with increased cost (P < .001). There were significant correlations between higher maximum BP and greater number of hypertension-related physician visits (P < .001). Mean number of visits for BP groups was 5.5 for patients with a maximum diastolic BP (DBP) < 85 mm Hg and 10.0 for those with a maximum DBP > or = 100 mm Hg (P < .001). Patients with a maximum SBP > or = 180 mm Hg averaged 9.7 visits, whereas those with a maximum SBP < 120 mm Hg averaged 4.1 visits (P < .001). Both SBP and DBP were significantly correlated with time to next visit (P < .001). Mean visit intervals ranged from 44 days for patients with an SBP < 85...Continue Reading

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