更新的高血压指南对员工健康计划的资格的影响
Sarah Oprinovich1, Kendall D Guthrie2
1Division of Pharmacy Practice and Administration, University of Missouri-Kansas City School of Pharmacy, Kansas City, MO, USA; Balls Foods Price Chopper Pharmacy, Kansas City, MO, USA.
Research in social & administrative pharmacy : RSAP
|October 22, 2023
概括
更新的血压指南可能会增加员工健康计划中符合条件的受益人数,从而可能增加行政成本. 这项研究分析了新标准对心血管疾病计划入学的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床药房实践 临床药房实践
- 预防性心脏病学 预防性心脏病学
背景情况:
- 员工健康计划 (EWP) 可以减少医疗保健支出,药剂师在疾病管理中发挥着关键作用.
- 确定EWP的资格标准至关重要,因为更新的临床指南可能会改变符合条件的受益人数.
- 准则变更对EWP招生和管理成本的影响仍未得到充分研究.
研究的目的:
- 评估修订的血压 (BP) 资格门如何影响EWP中受益人数.
- 评估采用ACC/AHA 2017年BP指导方针对EWP内心血管疾病 (CV) 管理计划的潜在招生的影响.
主要方法:
- 从Balls食品商店 (BFS) 开始现在EWP进行了2018年受益者数据的回顾性评估.
- 通过使用现有的联合国家委员会8 (JNC8) 标准与拟议的2017年ACC/AHA标准,比较了符合"现在开始心血管 (SN-CV) "计划资格的受益人数.
- 通过生物识别查和健康风险评估确定受益人.
主要成果:
- 在2018年之前,有309名受益人有资格接受疾病状态指导.
- 2018年,使用当前的JNC8标准,确定了187名受益人符合条件.
- 通过2017年ACC/AHA标准,可能会使另外113名受益人有资格参加SN-CV计划.
结论:
- 根据更新的BP指南,改变SN-CV资格标准会增加符合条件的受益人数.
- 这种资格的增加需要在确定资格方面做出更大的努力,并可能提高计划管理的劳动力成本.
- 更新的指导方针影响了EWP计划的范围,需要仔细考虑资源分配.
相关概念视频
01:23Hypertension V: Nursing Management
10
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
10
01:28Hypertension IV: Drug Therapy and Lifestyle Modifications
12
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
12
01:25Errors occurring during blood pressure monitoring
742
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
742
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
574
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
574
01:18Hypertension and Regulation of Blood Pressure
2.1K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
2.1K
01:30Stress Prevention and Stress Management Techniques VI
35
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
35