Campbell Norman R C
Departments of Medicine, Community Health Sciences, and Pharmacology and Therapeutics University of Calgary, Libin Cardiovascular Institute of Alberta, Alberta, Canada.
J Am Soc Hypertens. 2008 Mar-Apr;2(2):97-105. doi: 10.1016/j.jash.2007.10.001.
Canada has a similar prevalence of hypertension to the U.S., which is lower than the prevalence in many European countries. In contrast, Canada had similar treatment and control rates of hypertension to Europe, which are substantially lower than those of the U.S. To address this disparity, a national strategic plan was developed. While the strategy never received government resources for implementation, the Canadian hypertension community has successfully initiated certain aspects of the strategy. To date, programs include: a health professional education program, a national surveillance program, a public awareness program, and a program to reduce dietary sodium. The initiatives rely heavily on volunteers and on collaboration between many organizations and various government departments. Initially largely supported by corporate donations, the programs have received increased government resources over the last 2 years. The development of a funded leadership position beginning in 2006 (Canadian Institutes of Health Research Canada Chair in Hypertension Prevention and Control) has accelerated the initiatives. In the first 4 years of the health professional education program, there were large increases in the diagnosis and treatment of hypertension with corresponding reductions in cardiovascular disease. The Canadian programs could be adopted by countries with an organized and committed hypertension community.
加拿大高血压的患病率与美国相似，低于许多欧洲国家。相比之下，加拿大高血压的治疗和控制率与欧洲相似，远低于美国。为解决这一差异，制定了一项国家战略计划。虽然该战略从未获得政府实施资源，但加拿大高血压群体已成功启动了该战略的某些方面。迄今为止，这些项目包括：一项卫生专业人员教育项目、一项国家监测项目、一项公众意识项目以及一项减少膳食钠摄入的项目。这些举措严重依赖志愿者以及众多组织和不同政府部门之间的合作。这些项目最初主要由企业捐赠提供支持，在过去两年中已获得更多政府资源。2006年开始设立有资金支持的领导职位（加拿大卫生研究院加拿大高血压预防与控制主席）加速了这些举措。在卫生专业人员教育项目的头四年里，高血压的诊断和治疗大幅增加，心血管疾病相应减少。有组织且有决心的高血压群体的国家可以采用加拿大的这些项目。
