Rudnick K V, Sackett D L, Hirst S, Holmes C
Can Med Assoc J. 1977 Sep 3;117(5):492-7.
The performance of an urban Canadian family practice in the detection, evaluation, treatment, control and follow-up of hypertension for a 10-year period 1965-74 was reviewed. Vigorous case-finding and treatment were followed by good control of hypertension in 67% of cases and a significant decrease in mortality from stroke and congestive heart failure. It is strongly suggested that the proper location for dealing with hypertension is the primary-care practice and that the general practitioner deserves greater assistance from clinical specialists, health foundations and ministries of health in attacking this problem.
对1965年至1974年这10年间加拿大一个城市家庭医疗诊所对高血压的检测、评估、治疗、控制及随访情况进行了回顾。通过积极的病例发现和治疗,67%的高血压病例得到了良好控制,中风和充血性心力衰竭的死亡率显著下降。强烈建议处理高血压的合适场所是基层医疗诊所,并且全科医生在攻克这一问题上应得到临床专家、健康基金会及卫生部更多的协助。