迷失在翻译中:为什么高血压控制率随着时间的推移而变得更糟?
1Division of Nephrology, Department of Medicine, VA Healthcare System, and University of California, San Diego, San Diego, California.
概括
高血压治疗对于预防心血管疾病至关重要. 尽管有有效的方法,但美国的高血压控制率正在下降,这表明医疗保健的重大失败.
科学领域:
- 预防心血管疾病预防心血管疾病
- 高血压管理 高血压管理
- 公共卫生 公共卫生
背景情况:
- 高血压治疗是预防心血管疾病的基石.
- 有效的,可获得的,负担得起的高血压治疗方法存在.
- 尽管如此,美国高血压控制率仍停滞在60%以下,并且正在下降.
研究的目的:
- 描述在提供预防性高血压护理方面的失败.
- 为了识别受不良高血压控制不成比例地影响的人群.
- 探索影响高血压控制的因素,并提出未来的干预措施.
主要方法:
- 综述高血压控制率和有助于高血压的因素.
- 分析高血压科学与医疗保健提供之间的差距.
- 识别新的干预措施和方法.
主要成果:
- 美国的整体高血压控制率从未超过60%.
- 近年来,控制率的下降,而不是增加.
- 由于高血压管理不足,特定人群受到不成比例的影响.
结论:
- 在提供预防性高血压护理方面存在重大失败.
- 解决这一问题需要新的干预措施和对医疗保健服务的重新评估.
- 改善高血压控制对于降低心血管疾病负担至关重要.
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