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Improving Hypertension Detection and Referral in an Ambulatory Setting
Richard F. Gillum, MD;
Harold S. Solomon, MD;
Paul Kranz;
Paul Boepple;
Malcolm Creighton
Arch Intern Med. 1978;138(5):700-703.
Abstract
A paraprofessional aide working in an urban hospital's ambulatory clinics encouraged nurses to take and record blood pressures; he then contacted patients with elevated pressures who were not referred by clinic staff or who did not return for follow-up of their own accord. Blood pressure recording by clinic staff increased during the intervention from 54% to 68% of patients seen. Appointment keeping increased with intervention from 13% to 73% of those eligible for referral. The yield of hypertensive patients initiating management increased from a control level of 7% to 22% of total patients eligible for referral. Thus, a health aide can be effective in improving detection and referral of hypertensive patients at low cost.
(Arch Intern Med 138:700-703, 1978)
Author Affiliations
From the Department of Medicine, Peter Bent Brigham Hospital, Boston (Dr Solomon and Messrs Kranz, Boepple, and Creighton); and the Laboratory of Physiological Hygiene, University of Minnesota, School of Public Health, Minneapolis (Dr. Gillum).
Footnotes
Accepted for publication March 15, 1977.
Reprint requests to Peter Bent Brigham Hospital, 721 Huntington Ave, Boston, MA 02115 (Dr Solomon).
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