Utilization of Antihypertensive Drugs: A Comparison of Tertiary and Secondary Health Care Institutions in Northwestern Nigeria

C. Aminu, Isezuo Sa, E. Etuk, S. Bello
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Abstract

To compare the quality of antihypertensive prescriptions at 2 different health care levels in a hypertensive Nigerian population.We carried out a retrospective comparative analysis of the quality and pattern of antihypertensive and low-dose aspirin prescription in a tertiary and two secondary health care institutions providing specialize and generalized care, respectively, in northwestern Nigeria.The study population included 114 and 146 patients managed in the tertiary and secondary health centres, respectively. Compared to the secondary health institutions, the tertiary health institution had significantly higher utilization of diuretics (P=0.002), calcium channel blocker (p Keywords: Anti-hypertensive prescription, health care levels.
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降压药的使用:尼日利亚西北部三级和二级卫生保健机构的比较
比较尼日利亚高血压人群中2种不同卫生保健水平的降压处方的质量。我们对尼日利亚西北部一家三级卫生保健机构和两家二级卫生保健机构抗高血压和低剂量阿司匹林处方的质量和模式进行了回顾性比较分析,这些机构分别提供专门护理和一般护理。研究对象分别包括114名和146名在三级和二级保健中心接受治疗的患者。与二级医疗机构相比,三级医疗机构利尿剂使用率(P=0.002)、钙通道阻滞剂使用率(P=0.002)显著高于二级医疗机构。
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