Detection and treatment of hypertension at the work site

M. H. Alderman, Ellie Schoenbaum

Research output: Contribution to journalArticle

132 Citations (Scopus)

Abstract

A program linking detection to treatment was designed to improve blood pressure control among adults with asymptomatic, uncomplicated hypertension. Key elements of this program were provision of all diagnostic and therapeutic services at work site, integration of delivery system with the administration of a labor union, adherence to a rigid protocol, and continuous patient surveillance by nurses and paraprofessionals. At the first program site, Gimbels's principal New York City department store, 84 per cent of 1850 employees were screened, and 65 per cent of 186 with confirmed hypertension elected the treatment program. Of the 94 patients followed for one year, 97 per cent remained under therapy, with no untoward effect, and 81 per cent of patients had satisfactory blood pressure reduction. This approach appears to be a safe, effective, and acceptable method for hypertension control in large numbers of patients.

Original languageEnglish (US)
Pages (from-to)65-68
Number of pages4
JournalNew England Journal of Medicine
Volume293
Issue number2
StatePublished - 1975
Externally publishedYes

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Workplace
Hypertension
Labor Unions
Diagnostic Services
Blood Pressure
Systems Integration
Therapeutics
Nurses

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Detection and treatment of hypertension at the work site. / Alderman, M. H.; Schoenbaum, Ellie.

In: New England Journal of Medicine, Vol. 293, No. 2, 1975, p. 65-68.

Research output: Contribution to journalArticle

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