الفهرس 
AcknowledgmentOnly 14 pages are availabe for public view
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Abstract
Hypertension is a serious public health problem. It is a major cause of morbidity, disability and mortality in almost every country. In Egypt, evidence suggests that hypertension and its complications are major public health problem. The incidence of blood pressure related clinical events as myocardial infarction, cerebro-vascular stroke, and end stage renal disease appear to be increasing dramatically. Despite the high prevalence and associated danger, hypertension remains inadequately treated in the majority of patients and a good proportion of the hypertensive population is uncontrolled. The study was carried out to assess the health care delivered to the hypertensive patients in Health Insurance clinics, to determine the potential risk factors for poor blood pressure control and to assess patient compliance. In order to fulfill this aim, the study sample consisted of two types of hypertensive patients: Newly diagnosed hypertensives and chronic hypertensives. All newly diagnosed hypertensives and a systematic random sample (one every ten patients) of chronic hypertensives attending two randomly chosen Health Insurance clinics (Alexandria and Loran clinics) during the period from May 1st 1997 till April 30th 1998 were eligible to enter the study. Each clinic was visited for two days per week. Data were obtained by reviewing the patients, medical records, observing the medical examination and filling an interview questionnaire. The total studied cases during the study period mounted to 802 hypertensive cases. 119 newly diagnosed cases and 683 chronic cases. The study revealed the following main results: 1. The care delivered to the new patients in Health Insurance clinics was 33.7 in Alexandria clinic, and 33.3 in Loran clinic without any significant difference between both clinics.