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June 13, 1980

Management of Hypertension

Author Affiliations

Franklin County HBP Program Rural Health Associates Farmington, Me

JAMA. 1980;243(22):2287. doi:10.1001/jama.1980.03300480013009

To the Editor.—  Physicians reading the Hypertension Detection and Follow-up Program (HDFP) (242:2562, 1979) report should feel both excited and challenged—excited because we now have evidence that pharmacologic control of even mild hypertension reduces mortality, and challenged because published evidence increasingly suggests that special treatment programs do a better job controlling high blood pressure (HBP) than do practicing physicians.1-3The HDFP results justify even more vigorous nationwide hypertension detection and control efforts. Occupational and community treatment programs have proved effective; where appropriate, these models should be applied as alternatives to traditional medical care. Meanwhile, is it possible that solo and small group practice physicians could achieve equally high levels of HBP detection and control if they and their patients had access to special community programs that would facilitate compliance and control?Our experience in rural west-central Maine may help answer these questions. During the last five years, the Franklin