Correlates of knowledge of one’s blood pressure and cholesterol levels among older members of a managed care plan

Purpose. To determine if a mailed health promotion program reduced outpatient visits while improving health status. Design. Randomized controlled trial. Setting. A midsized, group practice model, managed care organization in Ohio. Subjects. Members invited (N = 3214) were high utilizers, 18 to 64 years old, with hypertension, diabetes, or arthritis (or all). A total of 886 members agreed to participate, and 593 members returned the initial questionnaires. The 593 members were randomized to the following groups: 99 into arthritis treatment and 100 into arthritis control, 94 into blood pressure treatment and 92 into blood pressure control, and 104 into diabetes treatment and 104 into diabetes control. Measures. Outpatient utilization, health status, and self-efficacy were followed over 30 months. Interventions. Health risk appraisal questionnaires were mailed to treatment and control groups before randomization and at 1 year. The treatment group received three additional condition-specific (arthritis, diabetes, or hypertension) questionnaires and a health information handbook. The treatment group also received written health education materials and an individualized feedback letter after each returned questionnaire. The control group received condition-specific written health education materials and reimbursement for exercise equipment or fitness club membership after returning the 1-year end of the study questionnaire. Results. Changes in visit rates were disease specific. Parameter estimates were calculated from a Poisson regression model. For intervention vs. controls, the arthritis group decreased visits 4.84 per 30 months (p < 0.00), the diabetes group had no significant change, and the hypertension group increased visits 2.89 per 30 months (p < 0.05), the overall health status improved significantly (−6.5 vs. 2.3, p < 0.01) for the arthritis group but showed no significant change for the other two groups, and coronary artery disease and cancer risk scores did not change significantly for any group individually. Overall self-efficacy for intervention group completers improved by −8.6 points (p < 0.03) for the arthritis group, and the other groups showed no significant change. Conclusions. This study demonstrated that in a population of 18 to 64 years with chronic conditions, mailed health promotion programs might only benefit people with certain conditions.

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THE STATE OF CHOLESTEROL LEVEL IN HYPERTENSION IN SADANANYA HEALTH CENTER

JURNAL MUTIARA NERS ◽

10.51544/jmn.v4i2.1543 ◽

2021 ◽

Vol 4 (2) ◽

pp. 80-85

Author(s):

Irpan Ali Rahman ◽

Endrian Mulyadi Justitia Waluyo ◽

Shafira Aisyah Darmawan

Keyword(s):

Blood Pressure ◽

Total Cholesterol ◽

Health Center ◽

Cholesterol Level ◽

Blood Cholesterol ◽

High Total Cholesterol ◽

High Cholesterol ◽

Hypertensive Patients ◽

Cholesterol Levels ◽

Quantitative Descriptive

Hypertension is an increase in systolic blood pressure above 140 mmHg and diastolic blood pressure above 90 mmHg. The number of hypertension sufferers has increased each year, in 2015 it reached 19,552, in 2016 it reached 24,750 and in 2017 it reached 38,057. In 2017 there were 115 hypertensive patients recorded in the report book that checked their health at the Sadananya Health Center. One of the causes of the high incidence of hypertension is cholesterol caused by the consumption of inappropriate food. One of the laboratory examinations to support hypertension diagnosis is blood cholesterol examination which can show excess cholesterol which makes hypertension difficult to control. To know the description of total cholesterol levels in hypertensive patients at the Sadananya Health Center. Quantitative descriptive, the population in this study were people with hypertension at the Sadananya Health Center. Sampling with accidental sampling, as many as 30 respondents. The cholesterol examination method used is CHOD-PAP. The results showed that blood pressure in respondents all had high blood pressure, namely >140/90 mmHg (100%), a high cholesterol level of 24 respondents (80%), blood pressure 140-150 who had high cholesterol as many 13 respondents, blood pressure 160-170 who had high cholesterol as much 6 respondents, blood pressure >180 who had high cholesterol as much 5 respondents. This study concludes that hypertensive clients have more high total cholesterol levels, which is as much as 80% and normal 20%. More hypertensive patients have high total cholesterol levels, which are 80% and 20% normal.

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The Relationship Between Dietary Habits and Body-Mass Index Using the Federal Airport Authority of Nigeria as the Sample

Nutrition and Health ◽

10.1177/026010600201600307 ◽

2002 ◽

Vol 16 (3) ◽

pp. 215-227 ◽

Cited By ~ 3

Author(s):

R.O. Abidoye ◽

L.A. Madueke ◽

G.O. Abidoye

Keyword(s):

Blood Pressure ◽

Diastolic Blood Pressure ◽

Dietary Habits ◽

Blood Cholesterol ◽

Consumption Pattern ◽

Feeding Patterns ◽

High Systolic Blood Pressure ◽

Cholesterol Levels ◽

Acceptable Range ◽

Study Population

This was a cross sectional survey of selected sample of staff of the Federal Airport Authority of Nigeria, Lagos, conducted in July to August, 2000. Feeding patterns observed among the sampled population showed that most (74.4%) ate three meals while 11.2% ate more than three meals daily. However, lunch was the most common meal eaten away from home by most (59.0%) of the respondents. Most of the respondents were observed to substitute snacks for their lunch (84.3%). Their food consumption pattern revealed that 23.2% consumed cereals daily while only 5.6% of the respondents consumed fruits and only 10.9% affirmed to consuming vegetables daily. Consumption pattern of other foods revealed that 15.6% consumed dairy products daily, meat/fish was daily consumed by only 16.2% and only 10.0% consumed fats and oils daily in the meals. Gender was also observed to influence feeding patterns of the sampled population studied. Most of the men consumed more meals per day than females. Only 46.4% of all the respondents had BMI values within normal acceptable range. Most of the respondents that were underweight were men (91.4%). Blood pressure measurements revealed that most of them had normal systolic (78.3%) and diastolic blood pressure (81.8%). Though 3.9% had severely high systolic blood pressure and 0.7% had severely high diastolic blood pressure. Only 20.5% of the study population had acceptable blood cholesterol levels of which only 61.1% had BMI values within the normal acceptable range. Only 0.8% of the study population had very high blood cholesterol levels with majority of the population 72.7% on the borderline. It is recommended that health and nutrition education be mounted and that periodic anthropometric measurements be used to evaluate the risk of some non-communicable diseases.

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Comments of a Reactor Panel

PEDIATRICS ◽

10.1542/peds.98.6.1289 ◽

1996 ◽

Vol 98 (6) ◽

pp. 1289-1292 ◽

Cited By ~ 1

Author(s):

Michael Applebaum

Keyword(s):

Managed Care ◽

Strategic Alliances ◽

Community Setting ◽

Care Plan ◽

Personal Perspective ◽

Kaiser Permanente ◽

Pediatric Residency ◽

Care Systems ◽

Teaching Faculty ◽

Teaching Programs

First, let me just say that managed care means different things to different people. I want to give you my personal perspective on pediatric residency training in community settings based on my own experiences in a nonprofit, physician-directed managed care system, Kaiser Permanente Health Care Plan, that has a 50-year history. My experience is, therefore, probably somewhat unusual and different from that of many other physicians throughout the country. As I wandered back and forth among the various workshops during this conference, managed care was a prominent theme in most. I am going to restrict my comments to three areas: recruitment, evaluation, and financing. With regard to recruitment, managed care systems are likely to have a strong interest in developing strategic alliances with academic teaching centers, but this interest is based on a reciprocity of needs. These kinds of alliances can only flourish when there is mutual trust that emerges after a variety of discussions at several levels. Managed care systems can be encouraged, then, to participate actively in teaching programs, and they may be significant sources for recruiting teaching faculty. Some managed care systems can provide stable, multicultural patient populations that are derived from the communities in which they practice. Continuity experiences provided to residents focus on health and prevention issues as opposed to disease orientation. Managed care systems can be rich resources for population research in which residents can participate. Another issue has not been raised here to any major extent, as far as I know. Teaching residents in a community setting can also involve inpatient care in a community hospital.

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Nursing Intervention in Decrease of Blood Cholesterol and Blood Pressure in The Lansia Group Provided Cupping Therapy in The Village of Wedomartani Sleman

10.53350/pjmhs211551305 ◽

2021 ◽

Vol 15 (5) ◽

pp. 1305-1308

Author(s):

Su warsi

Keyword(s):

Blood Pressure ◽

Treatment Group ◽

Alternative Therapy ◽

The Elderly ◽

Nursing Intervention ◽

Cupping Therapy ◽

Blood Cholesterol ◽

Control Group ◽

Measuring Device ◽

Cholesterol Levels

Background: Much alternative therapy such as cupping therapy in the community as one of the cheap treatment efforts without side effects makes the challenge and the goal for nursing staff improve nursing services. The unfinished scientific verification of cupping therapy's alternative therapy makes nurses need to prove decreased blood pressure and cholesterol levels in the elderly. Objective: Scientific proof of cholesterol and blood pressure decrease after Cupping Therapy in an elderly group in Wedomartani Village, Sleman Yogyakarta Indonesia. Method: quantitative type with pseudo experimental research design. Pre-test and Post-test nonequivalent control group. The treatment group was given wet cupping therapy, while the control group was given dry cupping. Respondents were selected using a purposive sampling technique. Blood pressure measurement uses a digital tensimeter and cholesterol measurement using a digital blood cholesterol level measuring device. Results: The elderly blood cholesterol levels after the average therapy decreased 42.89 mg/dl, whereas blood cholesterol levels in the control group decreased an average of 20.95 mg/dl. The blood pressure of the elderly systole in the intervention group after the average therapy decreased 10.74 mmHg, whereas the control group's systole blood pressure decreased an average of 1.58 mmHg. Diastole blood pressure in the treatment group decreased 3,48 mmHg, in the diastole blood pressure control group increased 5,26 mmHg. Conclusions: Wet and dry cupping are both significantly associated with decreased blood cholesterol and blood pressure levels, but wet cupping lowers blood cholesterol levels by a mean difference of 21.95 mg/dl and mean systole blood pressure of 3.74 mmHg and pressure diastole blood difference of mean 9.1 mmHg. Keyword: Blood Pressure. Cupping Therapy, Cholesterol, Elderly

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A Case Study of Point-of-Service Medical Use in a Managed Care Plan

Medical Care Research and Review ◽

10.1177/1077558799056002s05 ◽

1999 ◽

Vol 56 (2_suppl) ◽

pp. 81-105 ◽

Cited By ~ 1

Author(s):

Herbert S. Wong ◽

Lindsay Smithen

Keyword(s):

Managed Care ◽

Care Plan ◽

Point Of Service

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Physical Therapy Use by Community-Based Older People

Physical Therapy ◽

10.1093/ptj/85.1.19 ◽

2005 ◽

Vol 85 (1) ◽

pp. 19-33 ◽

Cited By ~ 27

Author(s):

Janet K Freburger ◽

George M Holmes

Keyword(s):

Physical Therapy ◽

Managed Care ◽

Older People ◽

Physical Therapist ◽

Private Insurance ◽

Ordinary Least Squares ◽

Care Plan ◽

Community Based ◽

Negatively Associated ◽

Factors Associated

Abstract Background and Purpose. Little information is available on factors associated with physical therapy use. Identifying the characteristics of people who use physical therapy and some of the factors associated with its use is a useful first step in determining whether disparities exist in physical therapy use. The purpose of this study was to identify factors associated with physical therapy use by community-based older people. Subjects. The subjects were community-based people 65 years of age or older who participated in the Medicare Current Beneficiary Survey and had at least one physician encounter (N=38,312 person-years across 20,227 individuals). Methods. Logit and ordinary least squares regression analyses were conducted to identify factors associated with physical therapy use. Results. Several measures of health and function were associated with physical therapy use. Several demographic, insurance, and geographic characteristics also were associated with physical therapy use. Income, education, having supplemental private insurance, participating in a managed care plan, and physical therapist supply were positively associated with physical therapy use. Age was negatively associated with physical therapy use. For people who saw a physical therapist, amount of physical therapy received was positively associated with income, having supplemental private insurance, living in a metropolitan area, physical therapist supply, and being African American. Amount of physical therapy received was negatively associated with being in a managed care plan. Discussion and Conclusions. Variation in physical therapy use, explained by factors other than need, suggests potential underuse or overuse of physical therapy by community-based older people.

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Adequacy of Glycemic, Lipid, and Blood Pressure Management for Patients With Diabetes in a Managed Care Setting

Diabetes Care ◽

10.2337/diacare.27.3.694 ◽

2004 ◽

Vol 27 (3) ◽

pp. 694-698 ◽

Cited By ~ 69

Author(s):

S. J. Beaton ◽

S. S. Nag ◽

M. J. Gunter ◽

J. M. Gleeson ◽

S. S. Sajjan ◽

...

Keyword(s):

Blood Pressure ◽

Managed Care ◽

Care Setting ◽

Pressure Management ◽

Blood Pressure Management ◽

Patients With Diabetes

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Patient education for behavior change: Harm reduction and hypertation control

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1367 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S741-S741

Author(s):

D. Soria ◽

G.M. Schincariol ◽

G.T. Chan ◽

S. Linda Beatriz Pontes De ◽

E.J. Domingos ◽

...

Keyword(s):

Blood Pressure ◽

Harm Reduction ◽

Common Mental Disorders ◽

Clinical Care ◽

Family Health ◽

Public Health Problem ◽

Pressure Profile ◽

Care Plan ◽

Health Lifestyle ◽

Competing Interest

BackgroundChronic non-communicable diseases (NCD) are a public health problem in Brazil. In addition, NCDs is more strongly associated with common mental disorders than was each NCD individually. This study is about the implementation and execution through the university extension project “harm reduction and mental health: hypertation control and health education” developed at Images of the Unconscious Museum, Brazil.AimsMeasure the prevalence of hypertation, verify the association with chronic NCDs, educate about risk behavior and improve to psychosocial rehabilitation.MethodsA socio-demographic and blood pressure profile was constructed. We identify hypertation on 33 patients. After the diagnosis, the family health unit was contact to construct a clinical care plan. We distribute health educational material about clinical diseases.ResultsThirty-six percent patients was identify with hypertation; once had high blood pleasure and rejected any intervention; 68% have family rates of hypertation and 100% referred low salt on diet. A book storytelling was constructed to give orientations about health lifestyle. We conducted therapeutic workshop to highlighting the creative, imaginative and expressive potential of the users on health behavior.ConclusionWe identify low blood pressure after the activities and a new health style after the orientation process.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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