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http://dx.doi.org/10.5762/KAIS.2016.17.10.119

The Effects of Individual Patient Behavior and Medical Care Level on Doctor's Diagnosis of Hypertension  

Park, Chang-Soo (Department of Nuclear Medicine, Chungnam National University Hospital)
Kim, Young-Ran (Department of Radiology, Wonkwang Health Science University)
Lee, Tae-Yong (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.17, no.10, 2016 , pp. 119-130 More about this Journal
Abstract
This study was conducted to investigate the effects of individual patient behavior regarding health and medical care level on doctor's diagnoses of hypertension. A X2-test was used to compare therapeutic compliance in individual characteristics and two-stage multilevel logistic regression to identify community variance of the related index of high blood pressure therapeutic compliance using data from 229,229 adults over the age of 19 in a community health survey conducted in 2010. The experience rate of doctors' diagnoses of hypertension was higher for people of older age, higher level of education, higher BMI, and among heavy drinkers (no recipients of basic living). Furthermore, there was a higher rate for those visiting health and medical institutions, having more frequent checks of blood pressure in a month, having a higher stress level, and having depression. Among paid workers, the ratio was lower for employers and owner/operators with more daily exercise (such as walking), infrequent smokers, and private health insurance holders. Doctor's diagnoses of hypertension was affected by individual health behavior and health and medical care level. Further studies employing multilevel analyses considering regional level data should be conducted in the future.
Keywords
Community health survey; Doctor's Diagnosis of Hypertension; Individual health behavior health; Medical care level; Multilevel analysis;
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