当前位置： SCI文献检索 > SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE期刊下所有文献 > Fifteen years with clinical guidelines in the treatment of hypertension--still discrepancies between intentions and practice.

Fifteen years with clinical guidelines in the treatment of hypertension--still discrepancies between intentions and practice.

Abstract：

OBJECTIVE:To assess physicians' current adherence to the Norwegian clinical guidelines for the treatment of hypertension. DESIGN:Descriptive, retrospective registration of information from patient records of one specified year. In addition, mailed questionnaire to examine the representativeness of the participating doctors. SETTING:General practice in Sør- and Nord-Trøndelag counties in Norway, 380,000 inhabitants. PATIENTS:In one year 2468 patients were registered with the diagnosis of hypertension in the records of 56 general practitioners. The patients were 57% women and 43% men; 41% were 70 years or older. MAIN OUTCOME MEASURES:Levels of blood pressure in accordance with the recommendations of the Norwegian clinical guidelines for hypertension. Fractions of patients with a measured blood pressure and serum cholesterol in one year. RESULTS:At least one blood pressure was recorded in 95% of the hypertensive patients during the specified year. The systolic blood pressure was 140 mmHg or less in 25% and 160 mmHg or less in 65%, while the diastolic blood pressure was 90 mmHg or less in 61%. According to the Norwegian clinical guidelines for systolic blood pressure, 29% of the women and 21% of the men were above recommended levels for treatment. With respect to the diastolic blood pressure, the figures were 38% for women and 40% for men. Patients under 60 years of age were often not treated according to the recommendations. Serum cholesterol was not recorded during the specified year in 68% of the total group, nor in 55% of patients aged 65 years or younger. CONCLUSION:There are still major discrepancies between current practice and the intentions laid down in the Norwegian clinical guidelines. A discussion of alternative methods for implementation and for evaluation of the efficacy of clinical guidelines is needed.

journal_name

Scand J Prim Health Care

journal_title

Scandinavian journal of primary health care

authors

Hetlevik I,Holmen J,Krüger O,Holen A

doi

10.3109/02813439709018503

subject

Has Abstract

pub_date

1997-09-01 00:00:00

pages

134-40

issue

eissn

0281-3432

issn

1502-7724

journal_volume

pub_type

杂志文章

在线工具

Fifteen years with clinical guidelines in the treatment of hypertension--still discrepancies between intentions and practice.