The cost effectiveness analysis of community health management for hypertension patients in Urumqi

Abstract

Objective Through the community health management of hypertension , to determine the input and output , change the knowledge , attitude, practice （ KAP） of hypertension patients and put forward the reasonable suggestions of antihypertensive treatment in order to reduce hypertensive patients ＇medical expenses . Methods By random cluster sampling method , we selected 809 hypertension patients , over 18 years old, from two communities in Urumqi .414 patients were in the management group and 395 patients were in the control group.The health management the cost benefit was analyzed by the change of patient ＇s KAP, medical expenses and so on.Results For the knowledge and behavior changes , 17.94% patients in the management group and 3.04%patients in the control knew the classification of blood pressure （Z=-5.688,P=0.000）.The master of normal range of blood pressure （Z=-11.927,P=0.000）, knowledge of obesity （χ2 =15.608,P=0.000） and knowledge of risk factors （χ2 =-17.677,P=0.000） between groups had significant differences （P〈0.01）.The total drug expenses of the management group and the control group were （1 583.88 ±981.24） and （1 923.90 ±1 523.81） yuan, respectively;the total hospitalization expenses of the management group and the control group were （10 725.77 ±11 688.26） and （15 327.03 ±10 280.42） yuan, respectively, the differences were significant （t=2.14,2.75, respectively;P〈0.05）.The costs of patients taking the drug and other costs in the management group were lower than the control group , the differences were significant （ P〈0.01 ）. Conclusions Hypertension health management can obtain a good cost benefit , reduce hypertension sickness cost, and improve quality of life . Key words: Hypertension; Community management; Cost effectiveness