Eight-year survival study of treated hypertension at the Dunedin Hypertension Clinic 1953–1977

Difficult Hypertension Clinic Utilizing a Nurse Specialist: A Cost‐Efficient Model for the Modern Era?

“…The average number of clinic visits was 3.0 (1)(2)(3)(4)(5)(6)(7)(8). This represents approximately 3000 clinic visits, with 1000 at physician clinics and 2000 at nurse clinics.…”

“…4 With the advent of effective antihypertensive drugs in the 1950s and 1960s, hypertension medicine developed into a specialty discipline, and specialist hypertension clinics were set up in New Zealand and elsewhere. [5][6][7][8] These original clinics catered mainly to middle-aged and younger individuals with severe diastolic hypertension, whereas in the modern era patients referred for specialist care are usually middle-aged or older with predominantly systolic hypertension. 9 By the 1990s in New Zealand, with the death or retirement of the original hypertension specialists, the public hospital-based hypertension clinics closed down on the presumption that it was now a primary care problem that could be managed almost entirely by family practitioners.…”

“…The prevalence of hypertension in the New Zealand adult population is 31% . With the advent of effective antihypertensive drugs in the 1950s and 1960s, hypertension medicine developed into a specialty discipline, and specialist hypertension clinics were set up in New Zealand and elsewhere . These original clinics catered mainly to middle‐aged and younger individuals with severe diastolic hypertension, whereas in the modern era patients referred for specialist care are usually middle‐aged or older with predominantly systolic hypertension .…”