Abstract
Hypertension clinics, in which primary care is provided by specially trained nonphysician therapists under physician supervision, can provide very effective and relatively inexpensive control of hypertension for large numbers of patients. Since 1972, 32 VA Hypertension Screening and Treatment Clinics have screened about 500,000 veterans, 29 percent of whom have had diastolic pressures of 90 mmHg or more and 13 percent of whom have had diastolic pressures of 105 mmHg or more. Of subjects who returned for a second visit, 77 percent continued to have diastolic pressures of 90 mmHg or more. Blacks had a higher percentage of severe hypertension than whites.
Since treatment became available in these clinics in 1974, 25,000 veterans have been treated. Computerized data are available for 10,777 of them who began treatment during 1974, 1975, or 1976. Of those with at least five treatment visits during that period, half had diastolic pressures below 90 mmHg at their most recent visit, and 80 percent had diastolic pressures below 100 mmHg. Moreover visit adherence was high, with two thirds of those who began treatment in these clinics during their first six months of operation continuing that treatment for two and a half years.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Effects of treatment on morbidity in hypertension. II. Results in patients with diastolic blood pressure averaging 90 through 114 mm Hg. JAMA. 1970 Aug 17;213(7):1143–1152. [PubMed] [Google Scholar]
- Evaluation of drug treatment in mild hypertension: VA-NHLBI feasibility trial. Plan and preliminary results of a two-year feasibility trial for a multicenter intervention study to evaluate the benefits versus the disadvantages of treating mild hypertension. Prepared for the Veterans Administration-National Heart, Lung, and Blood Institute Study Group for Evaluating Treatment in Mild Hypertension. Ann N Y Acad Sci. 1978 Mar 30;304:267–292. doi: 10.1111/j.1749-6632.1978.tb25604.x. [DOI] [PubMed] [Google Scholar]
- Sackett D. L., Haynes R. B., Gibson E. S., Hackett B. C., Taylor D. W., Roberts R. S., Johnson A. L. Randomised clinical trial of strategies for improving medication compliance in primary hypertension. Lancet. 1975 May 31;1(7918):1205–1207. doi: 10.1016/s0140-6736(75)92192-3. [DOI] [PubMed] [Google Scholar]
- Taylor D. W., Sackett D. L., Haynes R. B., Johnson A. L., Gibson E. S., Roberts R. S. Compliance with antihypertensive drug therapy. Ann N Y Acad Sci. 1978 Mar 30;304:390–403. doi: 10.1111/j.1749-6632.1978.tb25619.x. [DOI] [PubMed] [Google Scholar]