title: Cost-effectiveness evaluation of a collaborative patient education hypertension intervention in Utah.
abstract: This study analyzed the cost-effectiveness of a patient hypertension education intervention that provided patient education through interactive voice response technology and distribution of automated blood pressure monitors to high-risk plan members with uncontrolled hypertension. A total of 17,318 members were identified with hypertension in an administrative database. The study sample consisted of all 534 high-risk hypertensive plan members who received blood pressure monitors. Using data on activity-based program costs and changes in hypertension control, this study modeled the intervention's cost-effectiveness relative to no intervention. The intervention was estimated to have brought hypertension under control in 151 patients during the study year. Across all 534 participants in 1 year, 0.3 events (acute myocardial infarction, stroke, congestive heart failure, and renal failure) were avoided and 2.77 life-years were gained (LYG). The incremental cost-effectiveness ratio (ICER) for the intervention compared with no intervention was $767 per person brought under control or $41,927 per LYG. If the gains in hypertension control from 1 year's investment were assumed to last 10 years, the 10-year ICER relative to no intervention was $1857 per LYG. The intervention is a cost-effective strategy to address hypertension and can serve as a model for future innovations.
authors.affiliation: RTI International, Research Triangle Park, NC 27709-2194, USA. jtrogdon@rti.org
authors.forename: Justin G
authors.initials: JG
authors.lastname: Trogdon
authors.forename: Barbara
authors.initials: B
authors.lastname: Larsen
authors.forename: David
authors.initials: D
authors.lastname: Larsen
authors.forename: Wendy
authors.initials: W
authors.lastname: Salas
authors.forename: Matt
authors.initials: M
authors.lastname: Snell
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003362:Cost-Benefit Analysis; D005260:Female; D006293:Health Promotion; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000191:economics / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D012648:Self Care; D014589:Utah; D055815:Young Adult