Community Oriented Primary Care New Directions for Health Services Delivery (1983) / Chapter Skim
Currently Skimming:
The Application of COPC in a Welsh Mining Village
The Application of COPC in a Welsh Mining Village
Pages 243-249
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 243... ...
Patient consultation rates and hospital admission rates are 60 percent above the national average. This is typical of general practice in the South Wales valleys, where overall mortality is 30 percent above average.
|
From page 244... ...
Treatment is begun when the mean of three consecutive readings exceeds 105 mm Hg diastolic and/or 180 mm Hg systolic. Recently, patients have been trained to measure their blood pressure themselves at home for a 2-week period in order to increase the amount of data on which decisions to treat are based.
|
From page 245... ...
These figures compare favorably with mean pretreatment pressures of 114 mm Hg diaastolic and 191 mm Hg systolic. The proportion with diastolic pressures Initial Ascertainment in 1968 32 Hypertensives Subsequent Recru itment 1968- 1 982 71 Hypertensives \ Total Number 103 Hypertensives Outcome 1982 66 Alive 34 Dead 3 Moved Away FUGUE 1 Number of patients treated for hypertension between 1968 and 1982, with diastolic pressures ~105 mm Hg (40-60 years)
|
From page 246... ...
. Diastolic Systolic Pressure Percent of Pressure Percent of Level Patients Level Patients ~105 mm Hg 1 ~200 mm Hg 4 100-104 mm Hg 11 180 - 199 mm Hg 6 95-99 mm Hg 10 16~179 mm Hg 31 90-94 mm Hg 9 <160 mm Hg 59 <90 mm Hg 69 less than 90 mm Hg also compares favorably with the figure of 38 percent reported in a recent study of hospital outpatients attending clinics of specialists with an interest in hypertension.3 Table 2 shows the extent to which targets for blood pressure review were mer during the last 6 months of 1981.
|
From page 247... ...
With simple methods of organization and marginal redeployment of staff, three contacts can be used to build up profiles of risk factors and other data relevant to preventive programs. RESEARCH Since 1978, the practice has been associated with the Epidemiology and Medical Care Unit of the British Medical Research Council.
|
From page 248... ...
The next stage will involve studies of dietary sodium restriction in offspring with and without a family history of hypertension. Similar studies can also planned on patients with blood pressures in the diastolic range 90-104 mm Hg.
|
From page 249... ...
A Comparison of Blood Pressure Control in Hypertensive Patients Treated in Hospital Clinics and in General Practice.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.