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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1994-3-31
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pubmed:abstractText |
In the Dan and Ashkelon areas of Israel, 28 male and 24 female mild to moderate hypertensives without target organ damage aged 35-65 years were randomly assigned to treatment programmes (based on nutritional management, exercise and stress management techniques) either on an individual basis administered by physician-nurse teams (PN) or on a group basis from a team of paramedical professionals (PP) consisting of a psychologist, nutritionist and physical activity instructor. At 11 and 24 months follow-up, there were similar significant improvements in both treatment modes for such risk factors as body mass index, caloric intake and physical activity levels. There was a significant decrease in drug use from $36.28 a month at baseline to $18.94 a month at 11 month follow-up (P = 0.01) and to an estimated $20.48 at 24 months. Mean BP remained unchanged, despite the reduction in drug use, indicating a reduction in the underlying BP. The net present value (NPV) of the reduction in drug utilisation totalled $740 per person over a five year time horizon and a 7.5% discount rate. The total extra costs of treatment, training, case-note writing, travelling and follow-up booster sessions, amounted to $95 per patient for the PN mode and $234 per patient for the PP mode, yielding benefit to cost ratios of 7.79/1 and 3.16/l, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0950-9240
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
7
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
593-7
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8114055-Adult,
pubmed-meshheading:8114055-Aged,
pubmed-meshheading:8114055-Allied Health Personnel,
pubmed-meshheading:8114055-Clinical Protocols,
pubmed-meshheading:8114055-Community Medicine,
pubmed-meshheading:8114055-Cost-Benefit Analysis,
pubmed-meshheading:8114055-Female,
pubmed-meshheading:8114055-Humans,
pubmed-meshheading:8114055-Hypertension,
pubmed-meshheading:8114055-Male,
pubmed-meshheading:8114055-Middle Aged,
pubmed-meshheading:8114055-Nurses,
pubmed-meshheading:8114055-Patient Care Team,
pubmed-meshheading:8114055-Physicians
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pubmed:year |
1993
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pubmed:articleTitle |
Partial cost-benefit analysis of two different modes of nonpharmacological control of hypertension in the community.
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pubmed:affiliation |
Department of Data Analysis, Ministry of Health, Jerusalem, Israel.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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