SUMMARY A 1-year, randomized study was conducted to test the possibility of improving compliance with
therapeutic regimens in hypertensives by means of certain simple arrangements. Patients were given written
treatment instructions concerning hypertension, a personal blood-pressure follow-up card, and, for those who
failed to attend their blood-pressure check-up, an invitation for a new check-up. Using matched pairs, 202 Finnish
hypertensives were randomly allocated either to an ordinary or a reorganized treatment group. By means
of the latter system, patient compliance could be significantly (p < 0.01) improved: Only 4% of the patients in
this group dropped out of treatment, compared with 19% in the ordinary treatment group. By the end of the
year, blood pressure had been lowered by at least 10% in 95% of the patients in the reorganized group and in
78% of those in the ordinary group (p < 0.01). This was achieved in approximately 60% of cases using
chlorthalidone alone.
SUMMARY A 1-year, randomized study was conducted to test the possibility of improving compliance withtherapeutic regimens in hypertensives by means of certain simple arrangements. Patients were given writtentreatment instructions concerning hypertension, a personal blood-pressure follow-up card, and, for those whofailed to attend their blood-pressure check-up, an invitation for a new check-up. Using matched pairs, 202 Finnishhypertensives were randomly allocated either to an ordinary or a reorganized treatment group. By meansof the latter system, patient compliance could be significantly (p < 0.01) improved: Only 4% of the patients inthis group dropped out of treatment, compared with 19% in the ordinary treatment group. By the end of theyear, blood pressure had been lowered by at least 10% in 95% of the patients in the reorganized group and in78% of those in the ordinary group (p < 0.01). This was achieved in approximately 60% of cases usingchlorthalidone alone.
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