Document Detail


Health care improvement and cost reduction opportunities in hypertensive Medicaid beneficiaries.
MedLine Citation:
PMID:  11588405     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hypertension and its complications are more frequent and occur about a decade earlier in life among high-risk groups, especially in the Southeast. Moreover, socioeconomic status is inversely related to hypertension and cardiovascular complications. Low-income, young and middle-aged adults living in the Southeast may be at especially high risk. Data on inpatient admissions among hypertensive Medicaid beneficiaries living in this region may provide insights on the burden of hypertension-related disease and on opportunities for successful intervention. A study of hospitalization rates and costs among 44,440 hypertensive Medicaid beneficiaries in South Carolina from 1993-1996 showed that 16,883 (38%) were continuously enrolled in Medicaid. Of this group, 63% were African American and 74% were women. Among the continuously enrolled patients, 7637, or about 45%, were hospitalized during the 4-year period. These 7637 individuals accounted for 20,698 hospital admissions, i.e., 2.7 admissions per person, over the 4-year interval. Nearly two thirds of the hospitalizations included a cardiovascular or renal diagnosis. Hospital claims paid reached nearly $90 million for the 7637 hypertensive Medicaid recipients during the 4-year period. Among patients discharged from the hospital with congestive heart failure, 33% filled a prescription for an angiotensin-converting enzyme inhibitor within 90 days; 13% of patients discharged with an acute myocardial infarction filled a prescription for a beta blocker within 90 days. The data confirm that hypertensive Medicaid beneficiaries in the Southeast are hospitalized at high rates. Cardiovascular and renal morbidity account for the majority of the inpatient admissions. The findings suggest that the application of evidence-based guidelines would improve health, avoid cost, and reduce racial disparities in health outcomes.
Authors:
B M Egan; D T Lackland; B Williams; N Gunter; A Tocharoen; L Beardon
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of clinical hypertension (Greenwich, Conn.)     Volume:  3     ISSN:  1524-6175     ISO Abbreviation:  J Clin Hypertens (Greenwich)     Publication Date:    2001 Sep-Oct
Date Detail:
Created Date:  2001-10-05     Completed Date:  2001-12-04     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  100888554     Medline TA:  J Clin Hypertens (Greenwich)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  279-82, 318     Citation Subset:  IM    
Affiliation:
Department of Pharmacology and Medicine, Medical University of South Carolina, Charleston, SC 29425, USA. eganbm@musc.edu
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MeSH Terms
Descriptor/Qualifier:
Cardiovascular Diseases / epidemiology,  etiology,  prevention & control
Cost Control
Female
Hospitalization / economics,  statistics & numerical data*
Humans
Hypertension / complications*,  economics,  epidemiology
Male
Medicaid
Middle Aged
Quality Assurance, Health Care
South Carolina / epidemiology
Grant Support
ID/Acronym/Agency:
P01HS1087/HS/AHRQ HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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