THE MAYO 3-COMMUNITY HYPERTENSION CONTROL PROGRAM .4. 5-YEAR OUTCOMES OF INTERVENTION IN ENTIRE COMMUNITIES

  • 1 January 1981
    • journal article
    • research article
    • Vol. 56  (1) , 3-10
Abstract
Beginning in 1974, the Mayo 3-community hypertension control program initiated intervention studies in 3 southeastern Minnesota (USA) communities. The blood pressure outcomes 5 yr after the inception of graduated programs involving public and professional education, detection, referral and, in 1 community, systematic stepped care are reported. Despite differences in local physician-population ratios and organization of medical care, perseverant long-term reductions of blood pressure were noted in all communities. The mean diastolic pressures were lower and the number of individuals at goal (diastolic blood pressure .ltoreq. 90 mmHg) was higher in the community offering categorical care. Thus, while programmatic efforts to control hypertension resulted in favorable blood pressure declines, the outcomes were particularly impressive in the community with a categorical hypertension clinic model offering systematic management of hypertensive patients.

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