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January 21, 1974

Hypertension Management Program in an Industrial Community

Author Affiliations

From the Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Hanover, NH.

JAMA. 1974;227(3):287-291. doi:10.1001/jama.1974.03230160015003

Detection and adequate management of patients with high blood pressure remain major problems in preventive medicine in the United States. We utilized community physicians, medical center planning, and organization of existing community resources to develop a model blood pressure control program in a rural area 200 miles from the Dartmouth-Hitchcock Medical Center. One thousand seven hundred forty subjects were screened for the presence of elevated blood pressure. One hundred four subjects were found to have elevated blood pressure after three determinations and were classified into groups for further treatment. Follow-up on 102 of these subjects showed that 88% saw their physician within two months and 86% were being followed-up regularly after one year by their community physicians. Eighty-six percent of the subjects with diastolic blood pressures greater than 100 mm Hg were still receiving drug therapy after one year follow-up.