Internal Medicine and Pediatrics, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey 07103, USA.
Acad Med. 2011 Feb;86(2):239-45. doi: 10.1097/ACM.0b013e31820465e0.
Affecting one in three adults, hypertension is one of the most prevalent disorders in the United States. The purpose of this analysis was to evaluate, using national care guidelines and quality standards, the quality of care provided at the Student Family Health Care Center (SFHCC) of the University of Medicine and Dentistry of New Jersey (Newark).
The authors performed a chart review of all patients seen from June 2008 to June 2009, collecting the following data: age, gender, ethnicity, body mass index, most recent blood pressure measurement, comorbid conditions, number of visits, free medications dispensed, and smoking status. The authors used the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) guidelines and Healthy People 2010 quality standards to analyze results.
Of the 119 SFHCC patients seen during the study period, 60 had a diagnosis of hypertension. Overall, 30 (50%) of these patients were at target blood pressure. Of the 19 patients (32% of 60) with diabetes and hypertension, 5 (26%) were controlled compared with 25 (61% of 41) with hypertension only. Thirty-eight patients (63%) were taking a thiazide, 42 (70%) were on multidrug regimens, and all 19 of the patients with diabetes (100%) were on an angiotensin converting enzyme inhibitor or angiotensin receptor blocker, as per the JNC 7 guidelines.
SFHCC patients with hypertension received pharmacotherapy as recommended by JNC 7 guidelines and were at the blood pressure goal set by Healthy People 2010.
高血压影响着美国三分之一的成年人，是最常见的疾病之一。本分析的目的是根据国家护理指南和质量标准，评估新泽西州立大学医学与牙科学院（纽瓦克）学生家庭医疗保健中心（SFHCC）提供的护理质量。
作者对 2008 年 6 月至 2009 年 6 月期间所有就诊患者的病历进行了回顾性分析，收集了以下数据：年龄、性别、种族、体重指数、最近一次血压测量值、合并症、就诊次数、免费发放的药物以及吸烟状况。作者使用了美国预防、检测、评估与治疗高血压联合委员会（JNC 7）指南和《健康人 2010》质量标准来分析结果。
在研究期间，SFHCC 共诊治了 119 例患者，其中 60 例被诊断为高血压。总体而言，这些患者中有 30 例（50%）达到了目标血压。在合并糖尿病和高血压的 19 例患者中（60 例的 32%），有 5 例（26%）得到了控制，而单纯高血压的 41 例患者中，有 25 例（61%）得到了控制。38 例患者（63%）服用噻嗪类药物，42 例患者（70%）采用多药治疗方案，所有 19 例糖尿病患者（100%）均按照 JNC 7 指南使用血管紧张素转换酶抑制剂或血管紧张素受体阻滞剂。
SFHCC 的高血压患者接受了 JNC 7 指南推荐的药物治疗，且血压达到了《健康人 2010》的目标。
