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Lipid screening in a managed care population

K C Davis1, M E Cogswell, S L Rothenberg

  • 1Prudential Center for Health Care Research, Atlanta, GA 30339, USA.

Public Health Reports (Washington, D.C. : 1974)
|December 16, 1998
PubMed
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Managed care cholesterol screening exceeded goals, with 84% of patients having recorded levels. Lipid management compliance was high, especially for those with hypercholesterolemia, hypertension, or diabetes.

Area of Science:

  • Cardiovascular Health
  • Preventive Medicine
  • Health Services Research

Background:

  • High blood cholesterol is a significant risk factor for cardiovascular disease.
  • The National Cholesterol Education Program (NCEP) provides guidelines for lipid management.
  • Managed care organizations play a crucial role in implementing preventive health strategies.

Purpose of the Study:

  • To assess the adherence to NCEP-Adult Treatment Panel II guidelines for cholesterol screening and follow-up in a managed care setting.
  • To determine the proportion of eligible patients receiving appropriate lipid management.
  • To evaluate the effectiveness of preventive care within a managed care environment.

Main Methods:

  • Retrospective medical record review of 1004 continuously enrolled health plan members aged 40-64.

Related Experiment Videos

  • Data collected over a five-year period from three Prudential Health-Care sites.
  • Analysis focused on cholesterol screening rates and follow-up interventions.

    • Main Results:

    • 84% of patients had at least one total cholesterol level recorded; 67% had high-density lipoprotein levels.
    • Screening rates were high for patients with hypercholesterolemia (98%), hypertension (96%), and diabetes (94%), and for older adults (60-64 years, 94%).
    • Over 86% of hypercholesterolemia patients received dietary counseling, medication, or both.

    Conclusions:

    • Compliance with NCEP guidelines in this managed care setting surpassed Year 2000 goals for lipid management.
    • Adherence rates were comparable to those reported in other healthcare settings.
    • Continuous surveillance of preventive services is valuable for assessing and improving the quality of care in managed care organizations.