Ruchlin H S, Alderman M H
J Occup Med. 1980 Dec;22(12):795-800. doi: 10.1097/00043764-198012000-00013.
A cost analysis of hypertension treatment at the workplace indicates that average patient cost in 1978 was $194.77. The distribution of cost is: clinical personnel, 26.7%; administrative personnel, 26.7%; drugs, 23.9%; laboratory, 3.4%; clinical supplies, 1.1%; general supplies and other operating expenses, 8.7%; equipment use, 1.0%; and rent, 2.6%. This aggregate cost is well below that reported for care provided in private practice and hospital outpatient department settings. The study further indicates that the constant dollar cost of care declines over the first three of four years and begins to stabilize at the fourth year. During the initial three-year period drug costs rise, but fewer revisits are required to attain and maintain blood pressure control. Drug utilization and the number of revisits per year stabilize at the fourth year.
一项针对职场高血压治疗的成本分析表明,1978年患者的平均成本为194.77美元。成本分布如下:临床人员,26.7%;行政人员,26.7%;药品,23.9%;实验室,3.4%;临床用品,1.1%;一般用品及其他运营费用,8.7%;设备使用,1.0%;以及租金,2.6%。这一总成本远低于私人诊所和医院门诊所提供护理的报告成本。该研究进一步表明,护理的不变美元成本在四年中的前三年下降,并在第四年开始稳定。在最初的三年期间,药品成本上升,但达到并维持血压控制所需的复诊次数减少。药品使用和每年的复诊次数在第四年稳定下来。