Schneider C A, Hagemeister J, Pfaff H, Mager G, Höpp H W
Klinik III für Innere Medizin, Universität zu Köln.
Z Arztl Fortbild Qualitatssich. 2001 Jun;95(5):339-44.
Only a small proportion of patients with arterial hypertension are adequately treated. Although a possible cause for this fact may be the deficient knowledge of physicians about diagnosis and treatment of arterial hypertension, to date no studies have addressed this important problem in Germany. Therefore, we have reviewed the knowledge of internists and general practitioners about diagnosis and treatment of arterial hypertension using a questionnaire. The guidelines of the German Hypertension Society were used as the reference standard. The questionnaire was sent out in December 1999 to all internists (n = 15,952) and to a random sample of general practitioners (n = 8947) who work as statutory health insurance physicians. A total of 11,547 questionnaires were sent back and could be analysed. Adequate guideline knowledge was assumed if five out of eight questions were correctly answered; the correct answers had to include the correct definition of arterial hypertension (> 140/90 mmHg). The correct definition of arterial hypertension was known by 4103/11,547 participants (36%). An adequate guideline knowledge was found in 18.8% of the general practitioners and in 26.6% of the internists. There were no relevant regional differences. The level of awareness about diagnosis and treatment of arterial hypertension is insufficient among internists and general practitioners. This insufficient knowledge may in part explain the inadequate care for patients with arterial hypertension. Thus, the implementation and evaluation of new information and training strategies are mandatory to improve the care for patients with arterial hypertension.
只有一小部分动脉高血压患者得到了充分治疗。尽管造成这一情况的一个可能原因是医生对动脉高血压的诊断和治疗知识不足，但迄今为止，德国尚未有研究探讨这一重要问题。因此，我们通过问卷调查评估了内科医生和全科医生对动脉高血压诊断和治疗的知识掌握情况。德国高血压学会的指南被用作参考标准。该问卷于1999年12月发送给所有内科医生（n = 15,952）以及作为法定医疗保险医生的全科医生随机样本（n = 8,947）。总共回收了11,547份问卷并进行分析。如果八个问题中答对五个，则认为具备足够的指南知识；正确答案必须包括动脉高血压的正确定义（> 140/90 mmHg）。11,547名参与者中有4,103人（36%）知道动脉高血压的正确定义。在全科医生中，18.8%具备足够的指南知识，内科医生中这一比例为26.6%。不存在显著的地区差异。内科医生和全科医生对动脉高血压诊断和治疗的认知水平不足。这种知识不足可能部分解释了对动脉高血压患者护理不充分的情况。因此，必须实施和评估新的信息及培训策略，以改善对动脉高血压患者的护理。
