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May 2, 1977

Industrial Hypertension Program in a Rural State: Efficacy and Cost Effectiveness

JAMA. 1977;237(18):1942-1945. doi:10.1001/jama.1977.03270450032015

A program was designed to evaluate the efficacy and cost of detecting and treating hypertension in an industrial population of a rural state. Original screening and evaluation was initiated by a trained blood-pressure technician team, but initiation of therapy was the responsibility of the private physician. Follow-up data were obtained at one year by rescreening in 83% and by telephone contact in 91% of the original hypertensive patients. Eighty-three percent of those patients with moderate or severe hypertension complied with physician visits. The condition of 60% of the treated patients was controlled, and the condition of 74% was improved. The total cost per patient treated for one year was $250; per patient with controlled hypertension, $446; and per patient with controlled or improved hypertension, $362.

(JAMA 237:1942-1945, 1977)