[Management of diabetes and hypertension: how do primary care physicians judge their performance?].

P Krause, H U Wittchen, B Küpper, D Pittrow, T Unger, A M Sharma, E Ritz, B Göke, H Lehnert, D Tschöpe, W Kirch, H Pfister, P Bramlage, M Höfler
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Abstract

With regard to the management of hypertension and diabetes, HYDRA reveals that doctors report multiple problems in their everyday practice. Being confronted with an average of 73 patients a day, with almost every second having either diabetes or hypertension, frequently associated with multiple comorbid conditions, the core obstacle is the time factor. Doctors do not have sufficient time to perform diagnostic tests and especially no time for non-drug interventions of any type. Further available treatment guidelines are only used in 1 out of 2 doctors. Further they seem not to affect doctors performance significantly.

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糖尿病和高血压的管理:初级保健医生如何判断他们的表现?
关于高血压和糖尿病的管理,HYDRA揭示医生在日常实践中报告了多种问题。每天平均要面对73名患者,几乎每秒钟都有糖尿病或高血压患者,而且往往伴有多种合并症,核心障碍是时间因素。医生没有足够的时间进行诊断测试,特别是没有时间进行任何类型的非药物干预。进一步可用的治疗指南仅在1 / 2的医生中使用。此外,它们似乎对医生的表现没有显著影响。
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[Hypertension, diabetes mellitus and comorbidity in primary care]. [Microalbuminuria is an early marker for increased morbidity and mortality]. [Diabetes, hypertension and microalbuminuria in primary care]. [Nephropathy: an overview for daily practice]. ["Hypertension and diabetes screening and awareness" -- (HYDRA) study].
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