Summary: | Appropriate blood pressure (BP) control reduced cardiovascular (CVD)
event. Therapy intensification (TI) improved BP control. TI was found relatively
rare in clinical practice and became the barrier in BP control. A non-randomized
and multicenter study in 4 hospitals was done with the aims to evaluate the effect
of BP feedback intervention to physicians on the cost-effectiveness of the therapy,
the increase of TI score, the improvement of BP control, and the acceptability of
the intervention program by the physicians. The study consisted 2 periods, the
first period was cohort for 6 months and the second period was the nonrandomized
study with control for 8 months follow-up. Subjects of adults, outpatients,
with �Askes� insurance, high BP/with antihypertensive medicine, and
�4visits in 2
nd
period were included but the subjects in hemodialysis were
excluded. Physicians in intervention group received 4 times feedback in month 1,
2, 4, and 6 in the 2
nd
period. The TI score was calculated with standard-based
method and cost effectiveness was determined with scatter plot analysis and
Incremental Cost Effectiveness Ratio.
Subjects� profile of intervention (I) vs. non-intervention (NI) groups were:
385 vs. 271 subjects
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