[A cross-sectional study on the usage condition of hypertension related examinations and antihypertensive drugs among 40 district and community based hospitals in Beijing].
OBJECTIVE
To study the use of hypertension related physical examinations, laboratory tests and anti-hypertension drugs among district and community based hospitals in Beijing and to analyze the possible hardware (examination, test, drug) problems under the application of the "China Hypertension Guide" in those hospitals.


METHODS
The survey was carried out in 40 hospitals in Chaoyang and Haidian districts, including 9 district level hospitals, and the rest at community level. Questionnaire survey and in-depth interview were used to collect information from the leaders of related departments in those hospitals.


RESULTS
(1) The hardware condition of district hospital satisfied the implicit requirements of hypertension evaluation and treatment in "China hypertension Guide". (2) 64.5% of the community level hospitals had the basic equipments and routine laboratory tests for diagnosis and treatment on hypertension, but 35.5% of them lack of tests on blood chemistry (potassium, sodium, creatinine) and urine protein. (3) 71.0% of community level hospitals could not judge the patient's "target organ damage" independently. (4) Both district and community level hospitals had all major types of anti-hypertension drugs in there pharmacy except ARB.


CONCLUSIONS
When necessary laboratory tests for both district and community level hospitals were provided, they could accomplish the tasks of hypertension treatment and management. However, the community level hospitals should cooperate with hospitals at higher level to have a comprehensive clinical understanding of patients with high blood pressure.
Zeng
Zhe-chun
ZC
Department of Epidemiology, Beijing Institute of Heart, Lung and Blood Vessel Disease, Beijing 100029, China.
Zhao
Dong
D
Wang
Wen-hua
WH
Jia
Yan-na
YN
Liu
Ying
Y
Zhu
Xiu-ping
XP
Zhang
Guang-xin
GX
D002681:China; D019411:Clinical Laboratory Techniques / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D003954:Diagnostic Services / Q000706:statistics & numerical data; D006764:Hospitals, Community / Q000706:statistics & numerical data*; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000188:drug therapy*; D010593:Pharmaceutical Services / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires