Barber J H, Beevers D G, Fife R, Hawthorne V M, McKenzie H M, Sinclair R G, Simpson R J, Stewart G M, Williams D I
Br Med J. 1979 Mar 31;1(6167):843-6. doi: 10.1136/bmj.1.6167.843.
Since April 1975 all men aged 35-69 years registered with four general practices in west central Scotland have had their blood pressure checked whenever they visit the surgery. Although the practice locations range from rural to city centre and observers comprise receptionists, nurses, and doctors, a standard procedure has been adopted for the examination, recording, follow-up, and management of high blood pressure. The results confirm that raised blood pressure is common and often goes undetected. Even when hypertension is known, casual blood pressure readings often exceed accepted normal levels. The findings also show that a population may be routinely examined through normal contact with the family doctor, and that this can provide a convenient, acceptable, and effective means of detecting and reducing raised blood pressure.
自1975年4月起，在苏格兰中西部四个全科诊所登记的所有35至69岁男性，每次到诊所就诊时都要检查血压。尽管诊所地点涵盖农村到市中心，检查人员包括接待员、护士和医生，但对于高血压的检查、记录、随访及管理采用了标准程序。结果证实，血压升高很常见且常常未被发现。即使已知患有高血压，偶然测得的血压读数也常常超过公认的正常水平。研究结果还表明，通过与家庭医生的常规接触，可以对人群进行例行检查，并且这能提供一种方便、可接受且有效的检测和降低血压升高的方法。
