Acton K J, Preston S, Rith-Najarian S
Indian Health Service Diabetes Program, Billings Area Office, MT 59803, USA.
Public Health Rep. 1996;111 Suppl 2(Suppl 2):33-6.
THE AUTHORS EXAMINED THE PREVALENCE of clinically diagnosed hypertension among all American Indian and Alaska Native outpatients served in Indian Health Service (IHS) facilities in fiscal year 1992, and compared these rates with a similar analysis done in 1987. In this report they provided data on that analysis as well as on the association between hypertension and diabetes. The 1992 overall estimated age-adjusted prevalence of clinically diagnosed hypertension in adults older than age 15 was 10.4%, compared with 10.9% in 1987, a small but significant decrease. Considerable variation exists in hypertension prevalence rates in American Indian communities as analyzed by IHS service area. This report represents an attempt to use ambulatory patient care data to demonstrate a means for ongoing surveillance of a chronic disease for the entire service population of the IHS. This comprehensive data set represents approximately 60% of the entire U.S. American Indian and Alaska Native population. Based on the ongoing nature of this ambulatory patient care data system, this model for hypertension surveillance permits a unique opportunity for longitudinal evaluation of quality improvement efforts for the American Indian and Alaska Native populations served by the IHS.
作者调查了1992财年在印第安卫生服务（IHS）机构接受治疗的所有美国印第安人和阿拉斯加原住民门诊患者中临床诊断高血压的患病率，并将这些比率与1987年进行的类似分析结果进行了比较。在本报告中，他们提供了该分析的数据以及高血压与糖尿病之间关联的数据。1992年15岁以上成年人临床诊断高血压的总体年龄调整患病率估计为10.4%，而1987年为10.9%，虽有小幅下降但具有显著意义。根据IHS服务区分析，美国印第安社区的高血压患病率存在相当大的差异。本报告旨在尝试利用门诊患者护理数据，展示一种对IHS全体服务人群的慢性病进行持续监测的方法。这个综合数据集约占美国全部美国印第安人和阿拉斯加原住民人口的60%。基于这个门诊患者护理数据系统的持续性，这种高血压监测模型为纵向评估IHS所服务的美国印第安人和阿拉斯加原住民人群的质量改进工作提供了独特机会。
