Primary prevention of hypertension Primary prevention is the elimination of the causes of hypertension or susceptibility factors. 80s American scholar Stamler used a prospective controlled study to prove that a healthy lifestyle can reduce the incidence of hypertension by 55% and the incidence of coronary heart disease and stroke by 75%. In order to reduce the incidence of hypertension, the community health service of the university has carried out comprehensive health education and health promotion as primary prevention measures for the faculty members in the community, and formulated health education prescriptions for the prevention and treatment of hypertension and other cardiovascular diseases with reference to the four healthy lifestyles proposed by WHO. The contents of the outpatient bulletin boards are regularly changed; and measures for rational diet, moderate exercise, smoking cessation, alcohol restriction and psychological balance are implemented in the follow-up of the treatment process. It shows that primary prevention has improved people’s awareness of self-care, and they take the initiative to prevent diseases, take blood pressure and weigh themselves in time to control obesity; in the process of treatment, they treat both the symptoms and the root causes, change their bad lifestyles, and reduce the cost of medicine. In communities with a relatively high literacy level in colleges and universities, health education in written form has received good economic and social benefits. Secondary prevention of hypertension Secondary prevention means early detection, early diagnosis and early treatment. At present, there are three high rates (high prevalence, mortality and disability) and three low rates (low awareness rate, medication rate and control rate) in the prevention and treatment of hypertension in China. In order to improve this situation, the university’s health care work has been vigorously developing the general medicine model, updating the knowledge of community doctors, changing the concept of relying solely on drugs, and paying special attention to developing their responsibility for the prevention and treatment of hypertension and the skills of guiding a healthy lifestyle. Secondary prevention measures are (1) For patients over 35 years old (who do not know their blood pressure level), the first doctor must measure their blood pressure and record it for early detection of hypertensive patients. (2) For people over 35 years of age, blood pressure should be measured once a year. (3) The doctor in charge of the clinic will set up a hypertension clinic and implement a file system to provide prevention and follow-up services. Patients with early detection of hypertension will have their blood pressure measured twice a week, and after treatment has stabilized, their blood pressure will be measured once a week, and they will have their blood pressure measured at least once a month. This relatively fixed responsible physician and patient-centered doctor-patient relationship in the community has greatly improved the patient’s compliance with treatment, resulting in an increasing trend of hypertension control year by year. Tertiary prevention of hypertension Tertiary prevention is to reduce disability or death and to promote the recovery of work capacity or life ability. The important purpose of community health care for hypertension is to prevent the occurrence and development of the disease, prevent damage to target organs, and provide health promotion assistance to people in different states of health. The tertiary prevention measures for the prevention and treatment of hypertension in the community focus on treatment, with consultation and referral for critically ill patients to play a coordinating role. Patients diagnosed with hypertensive crisis and complications are promptly referred to higher-level hospitals to avoid delays in treatment; after stabilization, patients are transferred back to the community for follow-up services. The two-way referral is responsible for the whole process of patient’s health, which reduces the time and cost of hospitalization, and also gives the community doctors the opportunity to learn and improve their medical skills. At present, the treatment of hypertension advocates the first choice of non-pharmacological treatment and physical and mental health therapy, when blood pressure control is ineffective, choose the appropriate antihypertensive drugs, the principle of drug treatment should be effective, inexpensive and easy to use. The community physician has the responsibility and obligation to assist the patient in making a cost-effective choice. The community physician not only learns about new drugs, but also informs the patient in detail about the role and side effects of the drugs used when prescribing, increasing the patient’s awareness of participation as a medical center and the patient’s confidence in overcoming the disease, eliminating their concerns about side effects, so that the medication compliance rate among retirees reaches 9333%. Only through the joint efforts of patients and doctors can we promote recovery and reduce complications and mortality rates; only through tertiary prevention and care for the whole life course of community members based on general medicine can we make efficient use of medical resources, provide timely medical treatment and rehabilitation, and improve health.