Krause P, Wittchen H U, Küpper B, Pittrow D, Unger T, Sharma A M, Ritz E, Göke B, Lehnert H, Tschöpe D, Kirch W, Pfister H, Bramlage P, Höfler M
Institut für Klinische Psychologie und Psychotherapie, TU Dresden.
Fortschr Med Orig. 2003 Feb 27;121 Suppl 1:12-8.
With regard to the management of hypertension and diabetes, HYDRA reveals that doctors report multiple problems in their everyday practice. Being confronted with an average of 73 patients a day, with almost every second having either diabetes or hypertension, frequently associated with multiple comorbid conditions, the core obstacle is the time factor. Doctors do not have sufficient time to perform diagnostic tests and especially no time for non-drug interventions of any type. Further available treatment guidelines are only used in 1 out of 2 doctors. Further they seem not to affect doctors performance significantly.
关于高血压和糖尿病的管理，HYDRA研究表明，医生在日常实践中报告了多个问题。他们平均每天要面对73名患者，几乎每两名患者中就有一人患有糖尿病或高血压，且常常伴有多种合并症，核心障碍是时间因素。医生没有足够的时间进行诊断测试，尤其没有时间进行任何类型的非药物干预。此外，每两名医生中只有一人会使用现有的治疗指南。而且这些指南似乎对医生的工作表现没有显著影响。
