Rennert M, Strulov A, Almagor G, Tamir A
Romema Teaching Clinic, Haifa.
Harefuah. 1992 Jun 15;122(12):757-9, 820.
Hypertension is a major risk factor for cerebral and coronary disease and its early detection is very important for the family physician. We checked the implications of a hypertension survey in the community (from the age of 10 years) on the attitude of the primary care team. We found that although the medical team was aware of the significance of early detection and treatment of hypertension, according to the "law of halves" half the hypertensives were in treatment and of them half had normal blood pressure. This fact is probably not related to the quality of medical care. High risk groups identified were hypertensive patients who smoked, Jewish men of western origin, and Jewish women of Asian-African origin (who had a high rate of strokes). These groups were targeted for active intervention by the primary care team. This survey is part of planned community-intervention by the primary care team in the field of hypertension.
高血压是引发脑血管病和冠心病的主要危险因素,对家庭医生来说,早期发现高血压非常重要。我们调查了社区(从10岁起)高血压调查对基层医疗团队态度的影响。我们发现,尽管医疗团队意识到早期发现和治疗高血压的重要性,但根据“一半法则”,一半的高血压患者正在接受治疗,而其中一半患者血压正常。这一事实可能与医疗质量无关。确定的高危人群为吸烟的高血压患者、西方血统的犹太男性以及亚非血统的犹太女性(她们中风发生率较高)。基层医疗团队针对这些人群进行积极干预。这项调查是基层医疗团队在高血压领域进行的有计划的社区干预的一部分。