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Primary Care and the Hypertension Care Continuum in Brazil
James Macinko1, Daniel G P Leventhal, Maria Fernanda Lima-Costa
1UCLA Fielding School of Public Health, Los Angeles, California (Dr Macinko and Mr Leventhal); and Fundação Oswaldo Cruz, Centro de Pesquisas René Rachou, Belo Horizonte, Brazil (Dr Lima-Costa).
Abstract:
This study provides estimates of hypertension prevalence, awareness, treatment, and control in Brazil and assesses how well different modes of primary care delivery achieve each of these outcomes. Over one-third of the Brazilian adult population had measured hypertension or prior diagnosis. Nearly 90% of these had recent contact with the health system, but only 65% were aware of their condition. Only 62% of these regularly sought care for hypertension, but of these 92% received treatment. Hypertension control was 33% overall, but increased to 57% among those who received all levels of care.
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