Gillum R F, Solomon H S, Kranz P, Boepple P, Creighton M
Arch Intern Med. 1978 May;138(5):700-3.
A paraprofessional aide working in an urban hospital's ambulatory clinics encouraged nurses to take and record blood pressures; he then contacted patients with elevated pressures who were not referred by clinic staff or who did not return for follow-up of their own accord. Blood pressure recording by clinic staff increased during the intervention from 54% to 68% of patients seen. Appointment keeping increased with intervention from 13% to 73% of those eligible for referral. The yield of hypertensive patients initiating management increased from a control level of 7% to 22% of total patients eligible for referral. Thus, a health aide can be effective in improving detection and referral of hypertensive patients at low cost.
一位在城市医院门诊工作的辅助专业人员鼓励护士测量并记录血压；然后，他联系了那些血压升高但未被门诊工作人员转诊或未主动回来接受后续治疗的患者。在干预期间，门诊工作人员记录血压的患者比例从所诊治患者的54%增加到了68%。预约就诊率在干预后从符合转诊条件者的13%提高到了73%。启动治疗的高血压患者比例从对照水平的7%提高到了符合转诊条件的所有患者的22%。因此，一名健康辅助人员能够以低成本有效地改善高血压患者的检测和转诊情况。
