Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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The Effects of Adherence on Hypertension Control among Newly Diagnosed Hypertension Patients

신규 고혈압 환자에서 치료지속성이 고혈압 조절에 미치는 영향

  • 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)
  • 한진옥 (가천대학교 의학전문대학원) ;
  • 오대규 (가천대학교 의학전문대학원) ;
  • 임준 (가천대학교 의학전문대학원) ;
  • 고광필 (가천대학교 의학전문대학원) ;
  • 이희영 (가천대학교 길병원 암관리사업부) ;
  • 박종헌 (국민건강보험공단 빅데이터운영실) ;
  • 임정수 (가천대학교 의학전문대학원)
  • Received : 2014.05.14
  • Accepted : 2014.06.26
  • Published : 2014.06.30
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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

References

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