Cost effectiveness of 24-hour ambulatory blood pressure monitoring in evaluation and treatment of essential hypertension.
We wanted to determine if use of ambulatory blood pressure monitoring (ABPM) was cost effective, preventing unnecessary drug therapy in patients misdiagnosed as having essential hyperten h sion, with elevated office blood pressures and normal ambulatory blood pressure.
To address this issue we surveyed costs to the patient for antihypertensive drug therapy in 1990 of five local pharmacies in southeastern Michigan.
Patients studied (n=192) were seen in a private, general internal medicine practice in rural southeastern Michigan and received ABPM to assess the presence of hypertension and the adequacy of blood pressure treatment.
We ascertained the average, minimal, and maximal drug cost to the patient per unit dose at the local pharmacies.
Mots-clés Pascal : Hypertension artérielle, Traitement, Chimiothérapie, Antihypertenseur, Exploration, Monitorage, Ambulatoire, Pression artérielle, Analyse coût efficacité, Economie santé, Homme, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Hypertension, Treatment, Chemotherapy, Antihypertensive agent, Exploration, Monitoring, Ambulatory, Arterial pressure, Cost efficiency analysis, Health economy, Human, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0494453
Code Inist : 002B02F05. Création : 199501.