HEARTS in the Americas: Targeting Health System Change to Improve Population Hypertension Control.
Pedro OrdunezNorman R C CampbellDonald J DiPetteMarc G JaffeAndrés RosendeRamón MartínezAngelo GamarraCintia LombardiNatalia ParraLibardo RodriguezYenny A RodriguezJeffrey BrettlerPublished in: Current hypertension reports (2023)
Thus far, 33 countries in Latin America and the Caribbean have committed to integrating this program across their primary healthcare network by 2025. The increase in hypertension coverage and control in primary health care settings compared with the traditional model is promising and confirms that the interventions under the HEARTS umbrella are feasible and acceptable to communities, patients, providers, decision-makers, and funders. This review highlights some cases of successful implementation. Scaling up effective treatment for hypertension and optimization of CVD risk management is a pragmatic way to accelerate the reduction of CVD mortality while strengthening primary healthcare systems to respond effectively, with quality, and equitably, to the challenge of non-communicable diseases, not only in low-middle income countries but in all communities globally.
Keyphrases
- healthcare
- blood pressure
- end stage renal disease
- quality improvement
- physical activity
- ejection fraction
- newly diagnosed
- primary care
- chronic kidney disease
- peritoneal dialysis
- prognostic factors
- mental health
- cardiovascular events
- cardiovascular disease
- risk factors
- patient reported outcomes
- drug delivery
- combination therapy
- health information
- arterial hypertension
- patient reported
- replacement therapy