Key result
Earning health points in a community incentive program was significantly associated with improved blood pressure control among hypertensive patients (OR 1.03 per 1,000 points earned).
Why the study?
Does a health incentive program improve blood pressure control in hypertensive patients?
Cross-Sectional (n=22,298)
Does a health incentive program improve blood pressure control in hypertensive patients?
A health incentive program providing points for clinic visits and education is associated with improved blood pressure control in hypertensive patients.
Answers are grounded in this paper and cite their sources.
Does not warrant clinical adoption of incentive programs; leaves open causal efficacy in prospective trials.
만성질환관리사업에서 건강 인센티브 프로그램에 따른 고혈압 환자의 특성을 분석하고, 고혈압 환자의 혈압 조절에 미치는 영향을 고찰하였다. 인천광역시의 웹기반 만성질환등록관리체계(iCDMS)에 등록관리된 고혈압 환자의 진료정보에서 고혈압 환자의 성, 연령, 건강포인트 적립 수준, 의원 방문 횟수 등의 변수가 혈압 조절이 이루어지고 있는 환자((n=17,278)와 그렇지 않은 환자(n=5,020)에서 통계적으로 유의한 차이를 나타냈으며, 성, 연령, 건강포인트 적립 수준이 고혈압 환자의 혈압 조절에 통계적으로 유의하게 영향을 주었다. 본 연구는 고혈압 환자의 자가 관리역량을 강화하고 지속치료를 유도하기 위한 다양한 만성질환관리사업의 개발에 활용될 수 있으며, 특히 향후 만성질환관리사업에서 건강포인트제도와 유사한 인센티브 시스템의 체계적인 개발에 유용한 자료가 될 것으로 기대된다. This study described hypertensive patients characteristics associated with a health incentive program, and analyzed the effects of the health incentive program on blood pressure control. Based on the Incheon Chronic Disease Management System (iCDMS), a community partnership program for hypertensive patients, a cross-sectional design was used. There were statistically significant differences between the control group (n=17,278) and the experimental group (n=5,020) in gender, age, points earned, and number of hospital visits. Furthermore, being male, being over 60 years of age, and points earned were statistically significant factors associated with blood pressure control. To increase the effectiveness of chronic diseases management systems, various health incentive programs will be developed and introduced.
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Kyunghee Kang (2013) conducted a cross-sectional in Hypertension (n=22,298). Health incentive program (points earned) vs. Lower points earned was evaluated on Blood pressure control (SBP < 140 mmHg and DBP < 90 mmHg) (OR 1.03, 95% CI 1.02-1.04, p=<0.01). Earning health points in a community incentive program was significantly associated with improved blood pressure control among hypertensive patients (OR 1.03 per 1,000 points earned).
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