Hypertension in the inner city.
نویسنده
چکیده
Sixty dropouts from hypertensive clinics were interviewed in depth to determine reasons for noncompliance. Waiting time and a poor doctor-patient relationship were the major reasons given. The average waiting time prior to examination by the doctor was 2.5 hours, and the average waiting time at the pharmacy was 1.8 hours. In contrast the average time spent with the doctor was 7.5 min. The poor doctor-patient relationship deteriorated further since patients were examined by a different physician on each visit. A physician was not essential for compliance, however, since 54% of the patients readily accepted a health aide. In order to enhance compliance our group reorganized its hypertensive clinic using the patients' complaints as guidelines. Operating the clinic with emphasis on a personalized doctor-patient relationship and utilizing a meaningful appointment system has reduced the number of dropouts from 42% in 1966-69 to 8% in 1970-71.
منابع مشابه
Prevalence, awareness, treatment, and control of hypertension in the inner city.
This article reports on &he prevalence, awareness, treatment, and control of hypertension in a predominantly black population residing in the inner city of Detroit, Michigan. The data reported come from a cross-sectional survey of approximately 800 adults conducted in the fall of 1978. The prevalence of hypertension in the population studied, 38%, was similar for men and women below age 55; abo...
متن کاملTheoretical Genealogy of Inner-city Highways and Analyzing Its Impacts on Surroundings
Urban highways, as one of the most important sectors of transportation, have always been one of the most challenging, both in terms of budget consumption and its spatial, social, economic and environmental impacts on the city. It has been urban elements. To this end, this study analyzes the impacts of inter-city highways, examines the theories of how to deal with this spatial element, as well a...
متن کاملStroke Outreach in an Inner City Market: A Platform for Identifying African American Males for Stroke Prevention Interventions
BACKGROUND There are significant racial disparities in stroke incidence and mortality. Health fairs and outreach programs can be used to increase stroke literacy, but they often fail to reach those at highest risk, including African American males. METHODS We conducted a stroke outreach and screening program at an inner city market in order to attract a high-risk group for a stroke education ...
متن کاملQuality of Life and Its Related Factors in Hypertensive Patients
Introduction: Hypertension is one of the most common chronic diseases in the world today. Various studies have shown that people with hypertension have a lower life quality than people with normal blood pressure. Despite various studies on hypertension, little information is available on the life quality in patients with hypertension. Due to the relative ambiguity in this regard, the study has ...
متن کاملCharacteristics of the inner city road traffic casualties in Kerman during 1994
Road traffic casualties ( RTC) present a major health problem in Iran with a significant number of death and injuries among drivers, passengers and pedestrians of all ages. The purpose of this study was to achieve an understanding and knowledge about the pattern of the accident,s casualties in the city of Kerman. During one year period ( 1994-1995) all in- patient and out- patient cases referre...
متن کاملMultimorbidity of chronic diseases among adult patients presenting to an inner-city clinic in Ghana
BACKGROUND Very little is known about multimorbidity and chronic diseases in low and middle income countries, particularly Sub-Saharan Africa, and more information is needed to guide the process of adapting the health systems in these countries to respond adequately to the increasing burden of chronic diseases. We conducted a hospital-based survey in an urban setting in Ghana to determine the p...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- American family physician
دوره 5 3 شماره
صفحات -
تاریخ انتشار 1972