McAlister F A
Walter Mackenzie Centre, University of Alberta Hospital, 8440-112 Street, Edmonton, Alberta, Canada.
Can J Cardiol. 2006 May 15;22(7):559-64. doi: 10.1016/s0828-282x(06)70277-x.
While almost two-thirds of all strokes and one-half of all myocardial infarctions could be prevented if hypertensive individuals had their blood pressures optimally controlled, only a minority of hypertensive individuals (even in publicly funded health care systems with subsidization of medication costs) achieve target blood pressures. Traditional hypertension guidelines have had limited impact on hypertension management and control rates. As a result, the Canadian Hypertension Education Program was developed to address the perceived flaws in the traditional hypertension guideline approach. In the present article, the key features of the Canadian Hypertension Education Program methodology are reviewed, with attention to those factors thought to be critical to the successful translation of recommendations into practice.
如果高血压患者的血压得到最佳控制,几乎三分之二的中风和一半的心肌梗死是可以预防的,但只有少数高血压患者(即使在药物费用有补贴的公共资助医疗保健系统中)能达到目标血压。传统的高血压指南对高血压管理和控制率的影响有限。因此,制定了加拿大高血压教育计划,以解决传统高血压指南方法中被认为存在的缺陷。在本文中,对加拿大高血压教育计划方法的关键特征进行了回顾,重点关注那些被认为对将建议成功转化为实践至关重要的因素。