건강포인트제도의 효과와 참여 예측 인자 : 인천 만성질환관리사업의 고혈압 환자를 중심으로

Abstract

This study describes the hypertensive patients characteristics associated with the health incentive point program, and develops and analyzes a simple predictive model of participation in the program. Based on the Incheon Chronic Disease Management System(iCDMS), a model program of community partnership for hypertensive or diabetic patients detection and follow-up since 2005 in Incheon metropolitan city, a cross-sectional design was used in this study. An effective 10.844 adults sample was divided into groups according to participation in the health incentive point program and continuing treatment, and individual and health characteristics among groups were compared. Furthermore, the predictors associated with participation in the program were identified by the logistic regression analysis. After the health incentive point program in iCDMS was introduced, the number of hypertensive patients participation in the program increased 23.9 times which is vastly high given the various programs were provided. There were statistically significant differences among the groups: age(0.000), treatment compliance(0.000), and blood pressure control at the last measurement(0.000), in particular, between participation group(GroupⅠ, =246) and non-participation group(GroupⅢ, =10,408). Furthermore, age over 60 years(OR: 0.33), treatment compliance(OR: 3.49∼3.78) and blood pressure controls(OR: 2.13∼2.30) were statistically significant predictors associated with participation in the program, based on the logistic regression analysis with GroupⅠ and GroupⅢ. To increase participation in the health incentive point program, variables such as age, treatment compliance and blood pressure controls are more concerned. And, high-risk patients and family members need targeted health incentive programs.