[Comparative characteristics of treatment quality in patients with arterial hypertension in the system of primary health service].
OBJECTIVE
To compare quality of therapy and examination of target organs in hypertensive patients in the system of primary health service for 1995-1996 and 2003-2004.


METHODS
A retrospective analysis of 1301 case histories of outpatients treated in 1995-1996 and 720 patients treated in 2003-2004 has been made. A special chart was compiled for evaluation of diagnosis and treatment quality. The results were compared.


RESULTS
Adelphan and clophelin prescription reduced from 71.1 (in 1995) to 4.0% (in 2004), 75.8 to 32.6%, respectively. ACE inhibitors prescription rate rose from 3.1 to 40.2%, beta-adrenoblockers--from 5.1 to 13.6%, calcium antagonists--from 6.2 to 7.9%, diuretics--from 9.8 to 12.6%. Coverage with hypotensive therapy increased from 80.1 to 84.6%. Regular treatment was given to 21.1 and 28.8% patients, respectively, while the number of untreated hypertensive subjects decreased from 19.9 to 15.2%, respectively. For the decade studied target-organs were examined more frequently.


CONCLUSIONS
More effective present-day drugs are now used much more frequently, though quality of therapy remains low. Causes of this situation are poor social support, incompliance of the patients, the physicians are not aimed at prevention of hypertension complications.
Nesterov
Iu I
IuI
Lazareva
O A
OA
Khoroshaia
L N
LN
Meshcheriakova
A Ia
AIa
Eremina
O N
ON
D000293:Adolescent; D000328:Adult; D000368:Aged; D000553:Ambulatory Care / Q000592:standards*; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012189:Retrospective Studies; D012426:Russia
D000959:Antihypertensive Agents