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http://dx.doi.org/10.4332/KJHPA.2014.24.2.136

The Effects of Adherence on Hypertension Control among Newly Diagnosed Hypertension Patients  

Han, Jin-Ok (Graduate School of Medicine, Gachon University)
Oh, Dae-Kyu (Graduate School of Medicine, Gachon University)
Yim, Jun (Graduate School of Medicine, Gachon University)
Ko, Kwang-Pil (Graduate School of Medicine, Gachon University)
Lee, Hee Young (Gachon University Gil Hospital Cancer Center, Gachon University Gil Medical Center)
Park, Jong Heon (Big Data Steering Department, National Health Insurance Service)
Im, Jeong-Soo (Graduate School of Medicine, Gachon University)
Publication Information
Health Policy and Management / v.24, no.2, 2014 , pp. 136-142 More about this Journal
Abstract
Background: This study is to research on how hypertension control is associated with adherence in newly diagnosed hypertension patients. Methods: The study is based on 255,916 patients who were diagnosed with hypertension in 2009 and didn't have any previous medical history of hypertension or associated complication for the past year using data collected by National Health Insurance Corporation. Newly diagnosed hypertension patients are divided into two group by visiting medical center numbers (more than 300 days was adherence group, if not non-adherence group). Patients are considered to have successfully controlled their hypertension based on blood pressure measured by health examination. Chi-square test and logistic regression, repeated measured analysis of variance was used to analyze. Results: The relations between adherence and hypertension control show that 1.12 times of patients in adherence group was able to control their hypertension. The additional analysis proves that adherence group are more decreased level of blood pressure than non-adherence group except for patients who are over 70. Comparison of the average of systolic blood pressure and diastolic blood pressure between adherence and non-adherence groups shows that the blood pressure has been significantly among the adherence group. Conclusion: The study proves that constant treatment for hypertension could control the blood pressure and encourages patients to put more effort for persistent treatment. It also shows that hypertension treatment are more effective in younger patients than the elderly and strategies of approaching are different depending on age.
Keywords
Hypertension; Patient adherence; Control of hypertension; National Health Insurance Corporation;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
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