Health Policy Manag.  2015 Jun;25(2):90-96. 10.4332/KJHPA.2015.25.2.90.

The Effects of Adherence and Hypertension Control on Complication among Newly Diagnosed Hypertension Patients

• Han JO
• Yim J
• Im JS
• Lee HY
• Park JH
• Oh DK

• KMID: 2165240
• DOI: http://doi.org/10.4332/KJHPA.2015.25.2.90

Abstract

BACKGROUND
This study aimed to research on how adherence and blood control could make a difference when it comes to develop complications.
METHODS
The study's subjects were 255,916 patients who were newly diagnosed with hypertension in 2009 using data collected by National Health Insurance Cooperation. Patients are considered as a group under adherence if visit days and prescription days are more than 300 days. Patients are considered to have successfully controled their hypertension based on actual value measured by National Health Insurance Cooperation and the study takes a look at whether they were diagnosed with complications of cerebrocardiovascular disease in 2012. Chi-square test and logistic regression was used to analyze.
RESULTS
Patients who were able to control their hypertension show 0.80 times chance of developing cerebrovascular disease, and 0.89 times chance of developing cardiocerebrovascular disease. The group of adherence shows lower chance of developing complication in general than the group of non-adherence.
CONCLUSION
The study revealed that hypertension's constant treatment could control the blood pressure and prevent complications. It is important that encourages patients to effort for persistent treatment for reducing complication.

Keyword

Hypertension; Adherence; Blood control; Complication

MeSH Terms

Blood Pressure
Humans
Hypertension*
Logistic Models
National Health Programs
Prescriptions