Alderman M H, Lamport B
Department of Epidemiology and Social Medicine, Montefiore Medical Center, New York, NY 10467.
Health Psychol. 1988;7 Suppl:283-95. doi: 10.1037/h0090278.
A worksite-based program to detect and provide long-term treatment for working persons with high blood pressure was begun in 1973. In this setting, systematic categorical care, provided primarily by nurses under physician supervision, is effective, acceptable, and produces a reduction in cardiovascular morbidity and mortality when compared to conventional community-based care. The existence of a large, stable, treated group drawn from a defined working population has also provided an unusual opportunity to pursue clinical epidemiological research requiring prolonged prospective study. Issues of patient management, the course of clinical disease, and more fundamental biological research, have all been successfully addressed in this setting. The worksite may, therefore, present a useful opportunity for the investigation and treatment of other common chronic diseases.
1973年启动了一项基于工作场所的项目，旨在为患有高血压的工作人员进行检测并提供长期治疗。在这种情况下，主要由护士在医生监督下提供的系统分类护理是有效的、可接受的，并且与传统的社区护理相比，能降低心血管疾病的发病率和死亡率。从特定工作人群中抽取的大量、稳定的治疗组的存在，也为开展需要长期前瞻性研究的临床流行病学研究提供了难得的机会。在这种情况下，患者管理问题、临床疾病进程以及更基础的生物学研究都得到了成功解决。因此，工作场所可能为其他常见慢性病的调查和治疗提供一个有益的契机。
