Alderman M H, Schoenbaum E E
N Engl J Med. 1975 Jul 10;293(2):65-8. doi: 10.1056/NEJM197507102930203.
A program linking detection to treatment was designed to improve blood-pressure control among adults with asymptomatic, uncomplicated hypertension. Key elements of this program were provision of all diagnostic and therapeutic services at work site, integration of delivery system with the administration of a labor union, adherence to rigid protocol, and continuous patient surveillance by nurses and paraprofessionals. At the first program site, Gimbels's principal New York City department store, 84 per cent of 1850 employees were screened, and 65 per cent of 186 with confirmed hypertension elected the treatment program. Of the 94 patients followed for one year, 97 per cent remained under therapy, with no untoward effect, and 81 per cent of patients had satisfactory blood-pressure reduction. This approach appears to be a safe, effective, and acceptable method for hypertension control in large numbers of patients.
一项将检测与治疗相联系的项目旨在改善无症状、无并发症高血压成年患者的血压控制情况。该项目的关键要素包括在工作场所提供所有诊断和治疗服务、将服务提供系统与工会管理相结合、严格遵守方案以及由护士和辅助专业人员对患者进行持续监测。在第一个项目地点，纽约市金贝尔斯主要百货商店，1850名员工中有84%接受了筛查，186名确诊高血压患者中有65%选择了治疗方案。在接受随访一年的94名患者中，97%仍在接受治疗，且无不良反应，81%的患者血压降低情况令人满意。这种方法似乎是控制大量患者高血压的一种安全、有效且可接受的方法。
