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Blood pressure control programs on and off the worksite

M H Alderman, T K Davis

    Journal of Occupational Medicine. : Official Publication of the Industrial Medical Association
    |March 1, 1980
    PubMed
    Summary

    Physical accessibility is not the main driver of success for worksite hypertension programs. Other factors like protocol-driven care and community support significantly contribute to effective blood pressure control.

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    Area of Science:

    • Public Health
    • Occupational Health
    • Cardiovascular Disease Management

    Background:

    • Worksite-based programs can improve hypertension detection and treatment.
    • Physical accessibility is often considered a key factor in program efficacy.

    Purpose of the Study:

    • To evaluate the impact of physical accessibility on the effectiveness of a union-sponsored hypertension program.
    • To compare outcomes between worksite and non-worksite treatment settings.

    Main Methods:

    • A comparative study of patients receiving identical hypertension treatment.
    • Two settings were compared: worksite clinic and offsite clinic.
    • Data collected over three years, focusing on patient attrition and blood pressure control.

    Main Results:

    • Initial higher attrition in the offsite clinic resolved by the second year.
    • Sustained successful blood pressure control was observed in both worksite and offsite settings over three years.
    • Physical accessibility did not appear to be the primary determinant of program success.

    Conclusions:

    • Favorable outcomes in worksite hypertension programs may depend more on factors beyond physical accessibility.
    • Protocol-directed care by non-physicians, program structure, cost, and social environment are potential key contributors to success.
    • These findings suggest a multifactorial approach to optimizing hypertension management in occupational settings.

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