Lewanczuk R
Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Can J Cardiol. 2006 May 15;22(7):614-6. doi: 10.1016/s0828-282x(06)70284-7.
The majority of hypertension detection and management in Canada is provided by family physicians. Although various organizations have called attention to the poor rates of hypertension detection and control on a worldwide basis, the tools and infrastructure that allow for better hypertension management have generally been lacking in primary care. Recent advances in the fields of primary care and chronic disease management have led to the development of frameworks wherein chronic diseases such as hypertension can be more effectively managed. Such paradigms integrate the primary care physician, the specialist, technologies, and a wide variety of health system and community resources to provide optimal care to the patient with hypertension. The present review highlights many of the advances in primary health care delivery in Canada that apply to hypertension.
在加拿大，大多数高血压的检测与管理工作由家庭医生负责。尽管各类组织已在全球范围内呼吁人们关注高血压检测与控制的低比率问题，但基层医疗中通常缺乏有助于更好地管理高血压的工具和基础设施。基层医疗和慢性病管理领域的最新进展促使了一些框架的形成，在这些框架下，诸如高血压之类的慢性病能够得到更有效的管理。此类模式整合了基层医疗医生、专科医生、技术以及各种各样的卫生系统和社区资源，以便为高血压患者提供最佳治疗。本综述着重介绍了加拿大基层医疗服务中适用于高血压管理的诸多进展。
