Is it possible to improve compliance in hypertension and reduce therapeutic inertia of physicians by mandatory periodical examinations of workers?
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
MetadataShow full item record
Other TitlesCzy można poprawić przestrzeganie zaleceń terapeutycznych przez pacjenta z nadciśnieniem tętniczym i ograniczyć inercję terapeutyczną lekarzy, wykorzystując obligatoryjne badania pracowników?
AbstractDue to high prevalence, insufficient recognition and ineffectual treatment, hypertension (HT) still remains a major medical and socio-economic problem. There is a real necessity to develop effective prophylaxis for cardiovascular disorders (CVD), based on strategies which support compliance during long-term therapy. The Polish scheme of occupational health services (OHS) with mandatory periodical employee check-ups creates a unique opportunity for effective HT prophylaxis. As a result visiting a doctor is required not only due to health ailments but also by law, which is especially important for those feeling well. It enables an improvement in tertiary prevention, including actions taken not only by the doctors of the OHS, but also by the physicians in charge of treating the patients.
Evaluation of the usefulness of mandatory health check-ups of employees concerning frequency of diagnosis and improvement of treatment effects of arterial hypertension.
The study group comprised 1010 Polish workers referred by their employers for mandatory medical examinations. All of the study participants filled in a questionnaire focused on self-assessment of their health, current blood pressure (BP) measurements, and in cases where HT had been previously detected - compliance with medical recommendations. Then in the doctor's office BP measurements were taken twice. Workers who fulfilled a criterion indicating a need for intervention were educated on the subject of optimal diet, physical activity and risk factors for CVD. They also received medical instructions for three-step action. The first recommendation: measure BP three times a day during 1 week and record the results. The second: visit a General Practitioner (GP) for a professional assessment of those results. The third: re-visit the occupational health physician (OHP) within 3 months. The criterion for intervention was prior HT and a mean of 2 BP level measurements ≥180/110 mmHg - in each case, or ≥140/90 mmHg - in case of occupational exposure to risk factors for CVD.
The mean of age of the study participants amounted to 41.7 years (similar among both genders). A previous diagnosis of HT was declared by 20.1% patients. 11% of patients involved in the intervention did not comply with medical advice. The current HT therapy of all of the subjects with HT (100% of those with abnormal BP levels, who visited their GP) was modified.
Prophylactic medical check-ups of workers permit improved compliance and medical surveillance over HT in patients an with uncontrolled clinical course of this disease. Obligations and periodical frequency of examinations encourage both patients and physicians to improve compliance and reduce the risk of therapeutic inertia.
CitationKardiol Pol 2018
The following license files are associated with this item:
Except where otherwise noted, this item's license is described as Archived with thanks to Kardiologia polska