Abstract
To evaluate the effectiveness of workplace screenings on identification, subsequent follow-up, and treatment of patients with undiagnosed hypertension. Claims data and screening values for 31,281 individuals from 21 self-insured employer groups were combined with zip code-level information and analyzed using multilevel logit models. Up to 17.6% of individuals without a previous indication of hypertension in the administrative data exhibited high blood pressure (140/90 or greater) at screening. In the month following workplace screening, significant increases were noted, using administrative claims, in the number of new diagnoses for hypertension (odds ratio: 1.81; P < 0.0001) and new prescriptions for antihypertensive drugs (odds ratio: 2.27; P < 0.0001), primarily among individuals with high blood pressure at screening. Workplace screening programs offer a potential approach to identify undiagnosed hypertension in employees and ensuing therapeutic management.
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