Strasser T, Wilhelmsen L
World Hypertension League, Geneva, Switzerland.
Clin Exp Hypertens A. 1992;14(1-2):193-212. doi: 10.3109/10641969209036182.
Despite the great therapeutic advances, the control of hypertension in populations is far below the achievable level, even in populations with highly developed health care. By the end of the 1980's, in selected European centres, 18-34% of cases of hypertension were undetected, and among those previously known, 22-38% were untreated. The cooperative WHO/WHL Hypertension Management Audit Project aimed at assessing some of the impediments to better control of hypertension. The concepts and attitudes of 2,215 physicians were surveyed. In various centres and at various patient ages, 25-45% of physicians would not start drug treatment below 100 mm Hg. When inquiring into the perceived reasons why hypertension had not been detected earlier, among other reasons, physicians tended to incriminate their workload, while patients often felt that there was a lack of interest on the doctor's part to take a blood pressure reading. In general, patient satisfaction seemed suboptimal. Physician's sources of information were varied; neither WHO, nor ISH or WHL seemed to play an important role in informing the physicians.
尽管在治疗方面取得了巨大进展，但即使在医疗保健高度发达的人群中，高血压的控制水平仍远低于可实现的水平。到20世纪80年代末，在欧洲的一些选定中心，18%至34%的高血压病例未被发现，在那些之前已知患有高血压的人群中，22%至38%的人未接受治疗。世界卫生组织/世界高血压联盟高血压管理审计合作项目旨在评估一些影响高血压更好控制的障碍。对2215名医生的观念和态度进行了调查。在不同的中心和不同年龄段的患者中，25%至45%的医生不会在血压低于100毫米汞柱时开始药物治疗。在探究高血压未被更早发现的原因时，除其他原因外，医生往往归咎于他们的工作量，而患者常常觉得医生对测量血压缺乏兴趣。总体而言，患者满意度似乎不尽人意。医生的信息来源多种多样；世界卫生组织、国际高血压学会或世界高血压联盟在向医生提供信息方面似乎都没有发挥重要作用。
