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Industrial hypertension control program in a rural state

C C Walworth, R C Charman

    JAMA
    |April 5, 1976
    PubMed
    Summary

    This study evaluated a community hypertension program in rural areas. The program successfully identified individuals with high blood pressure, with many receiving medical observation and drug therapy.

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    Area of Science:

    • Public Health
    • Cardiovascular Medicine
    • Health Services Research

    Background:

    • Hypertension detection and management in the U.S. faces significant challenges.
    • Effective community-based programs are crucial for improving cardiovascular health outcomes.
    • Previous models require adaptation for broader geographic application.

    Purpose of the Study:

    • To implement and assess a community hypertension program across a large rural area.
    • To evaluate the program's effectiveness in identifying and managing hypertension.
    • To determine the costs associated with hypertension case finding and treatment initiation.

    Main Methods:

    • A previously validated community hypertension program model was applied.
    • Screening for hypertension was conducted in 47 industries across 18 rural communities.
    • 15,689 individuals were screened, with 805 identified with sustained elevated blood pressure for management.

    Main Results:

    • 76% of identified individuals visited physicians within six months; 81% were under medical observation.
    • 67% of those seeing physicians received antihypertensive drug therapy.
    • The cost per identified hypertensive subject was $80; cost per subject receiving drug therapy was $160.

    Conclusions:

    • The community hypertension program model is adaptable to wide geographic rural settings.
    • The program demonstrated success in screening, identification, and initiation of management for hypertension.
    • The cost-effectiveness analysis provides valuable data for public health resource allocation in hypertension control.

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