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Many clinical trials have demonstrated the benefit of systemic changes in how patients with hypertension are identified and how hypertension is controlled, but long-term data are lacking. In this observational study, researchers describe the implementation and results of a large-scale hypertension program created by an integrated healthcare system (Kaiser Permanente Northern California). The multifaceted intervention included:
Aggressive development of a hypertension registry to track all enrollees who were identified by standard criteria as having hypertension
Frequent dissemination of information on rates of hypertension control at each Kaiser medical center
Development and dissemination of best practices for hypertension control
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