Ruchlin H S, Melcher L A, Alderman M H
J Occup Med. 1984 Jan;26(1):45-9. doi: 10.1097/00043764-198401000-00011.
Cost of care and blood pressure control achieved were examined for individuals enrolled in two worksite hypertension control programs. In the first program, care was provided in a community-based setting by private physicians (model I-CBC); in the second program care was rendered by nurses under the supervision of a physician in work-based clinics (model II-WBC). In both situations, however, identification of employees with hypertension was effected through screening at the worksite. After adjustment for differences in labor market costs, annual average costs per client were found to be comparable for both programs. Blood pressure control (less than 160/95 mm Hg) was greater in model II-WBC than in model I-CBC. The average cost per unit of blood pressure reduction achieved by model II-WBC was +8.25 compared with +28.84 for model I-CBC, indicating a greater cost-effectiveness for worksite care programs.
对参加两项工作场所高血压控制项目的个体的护理成本和实现的血压控制情况进行了检查。在第一个项目中，由私人医生在社区环境中提供护理（模式I - CBC）；在第二个项目中，由护士在工作场所诊所的医生监督下提供护理（模式II - WBC）。然而，在这两种情况下，都是通过在工作场所进行筛查来确定患有高血压的员工。在对劳动力市场成本差异进行调整后，发现两个项目中每位客户的年度平均成本具有可比性。模式II - WBC的血压控制（低于160/95毫米汞柱）比模式I - CBC更好。模式II - WBC实现每单位血压降低的平均成本为+8.25，而模式I - CBC为+28.84，这表明工作场所护理项目具有更高的成本效益。
