Interrelationship between arterial hypertension, health service costs, therapeutic treatment and physical activity

• Published in: BMC family practice 2023-08, Vol.24 (1), p.1-164, Article 164
• Main Authors: Lima dos Santos, Lionai, Codogno, Jamile Sanches, Camilo Turi-Lynch, Bruna, Araujo, Monique Yndawe Castanho, Fernandes, Romulo Araujo, de Oliveira Gomes, Grace Angelica, Crankson, Shirley, Anokye, Nana
• Format: Article
• Language: English
• Subjects: Antihypertensives; Blood pressure; Cardiovascular disease; Care and treatment; Cost control; Data analysis; Demographic aspects; Economic aspects; Evaluation; Exercise; Health care expenditures; Health expenditures; Health services; Hospitals; Hypertension; Medical care, Cost of; Medical records; Mortality; Patient compliance; Patients; Physical exercise; Physical fitness; Primary care; Professional ethics; Professionals; Public health; Questionnaires; Research ethics; Treatment adherence
• ISSN: 2731-4553; 2731-4553; 1471-2296
• DOI: 10.1186/s12875-023-02120-7

Background Arterial hypertension is a high prevalence disease that increase healthcare costs and affects physical activity level. This study aimed to analyse the interrelationship between arterial hypertension, health service costs, therapeutic treatment, and physical activity in patients with cardiovascular diseases. Method Cross-sectional study that evaluated 306 patients from a hospital in Presidente Prudente-Brazil. Based on their medical diagnosis, they were classified into multiple groups to access primary care and hospital-related costs variations. Then, using data from medical records and face to face interviews, they were examined on their treatment adherence and physical activity practice. Healthcare costs were accessed using medical records. Finally, the generalised linear model was used to analyse the interrelationship between treatment adherence, physical activity, health care costs and arterial hypertension. The data were analysed with Stata/MP4 16, and a p-value of less than 5% was used to determine statistical significance. Results The group that adhered to the arterial hypertension treatments but were physically inactive presented higher costs with consultation (US$=24.1, 95%CI = 1.90;46,3) medication (US$=56.60, 95%CI = 1.65; 111.5) and total primary health care costs (US$=71.60, 95%CI = 19.2; 123.9) even after adjusting for confounding variables, meanwhile those participants that adhered to the treatments and were physical active did not present difference in healthcare cost when compared to normotensive and physical active participants. Conclusion To be adherent to hypertension treatment were related to higher health care costs meanwhile been physical activity were related to lower health care costs and the combination of both showed that be adherent and physical activity represent the same cost with health than those normotensive and active emphasizing the importance of adherence and physical activity in the hypertensive treatment. Keywords: Cardiovascular disease, Health expenditures, Physical exercise, Treatment adherence