PMID: 9436518Jan 22, 1998Paper

Socio-economic consequences and quality of life in hypertension and its management: a review of the literature

Archives des maladies du coeur et des vaisseaux
T LebrunB Selke

Abstract

A macro-economic approach to the cost of hypertension showed that, due to its high prevalence in industrialised countries and the increase in the costs of its treatment, the management of this condition is a preoccupation for the community. The micro-economic approach revealed an inequality between individuals concerning its management, especially with respect to social class. Ambulatory blood pressure recording provides a method of reliable assessment of the blood pressure of an individual. Its cost could be compensated on the macro-economic scale by the economies of treatment, especially as erroneous diagnosis of normal subjects as hypertensive may lead to both psychosocial and economic complications (increased professional absenteeism), the so-called "labelling effect" in Anglo-Saxon countries.

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