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The changing health care environment.

M V Pauly

    The American Journal of Medicine
    |December 31, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Rising healthcare costs are shifting expenses to patients, particularly impacting hypertension treatment. Physicians must adopt cost-conscious prescribing for effective, affordable patient care.

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    Area of Science:

    • Health Economics
    • Public Health
    • Cardiology

    Background:

    • National health expenditures grew twice as fast as overall prices in 1985, reaching 10.7% of GNP.
    • Cost increases are directly transferred to patients due to stable payment fractions from third parties and government.
    • Managed care systems and treatment expenses increase cost consciousness among patients and physicians.

    Purpose of the Study:

    • To analyze the impact of rising medical costs on hypertension treatment.
    • To examine the challenges faced by physicians in prescribing cost-effective hypertension therapies.
    • To highlight the implications of drug costs for patient compliance and physician practice.

    Main Methods:

    • Analysis of national health expenditure trends.

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  • Examination of cost-sharing mechanisms in healthcare.
  • Review of factors influencing physician prescribing patterns for hypertension.
  • Assessment of the economic burden of hypertension on patient populations.

    • Main Results:

    • Hypertension treatment costs exceed $8 billion annually, affecting over 25% of Americans.
    • Elderly and black patients, often with lower incomes, disproportionately bear the burden of moderate to severe hypertension.
    • Physicians face pressure to prescribe newer, more expensive antihypertensive drugs, risking patient noncompliance or loss of patronage.

    Conclusions:

    • Cost-conscious prescribing is essential for physicians managing hypertension, especially for low-income patients.
    • Balancing effective treatment with affordability is crucial in the current healthcare economic climate.
    • Physicians must consider patient socioeconomic status and drug costs to ensure treatment adherence and maintain patient relationships.