美国的心脏:针对卫生系统变革,改善人口高血压控制
Pedro Ordunez1, Norm R C Campbell2, Donald J DiPette3
1Department of Non-Communicable Diseases and Mental Health, Pan American Health Organization, Washington, DC, USA. ordunezp@paho.org.
Current hypertension reports
|December 2, 2023
概括
美国的 HEARTS 倡议通过加强初级保健中的高血压管理来改善心血管疾病 (CVD) 的预防和控制. 该计划在拉丁美洲和加勒比地区被证明是有效和可行的.
科学领域:
- 公共卫生 公共卫生
- 预防心血管疾病 预防心血管疾病
- 主要医疗保健系统主要是医疗保健系统.
背景情况:
- 心血管疾病 (CVD) 仍然是全球主要的死亡原因.
- "心脏在美洲"倡议是世界卫生组织"全球心脏"倡议的区域改编.
- 有效的高血压控制和心血管疾病风险管理对于降低过早死亡率至关重要.
研究的目的:
- 描述了HEARTS in the Americas倡议的心血管疾病 (CVD) 预防和控制.
- 概述心血管疾病死亡率和高血压控制趋势的区域流行病学背景.
- 详细介绍干预组件,包括以初级保健为导向的管理系统和HEARTS临床途径.
主要方法:
- 审查"美国之心"倡议的结构和目标.
- 区域心血管疾病死亡率和高血压控制数据的摘要.
- 检查计划扩展的关键因素:药物,以团队为基础的护理和监测/评估系统.
主要成果:
- 拉丁美洲和加勒比地区的33个国家已承诺到2025年整合HEARTS.
- 该倡议表明,在初级保健机构内,高血压覆盖和控制有望增加.
- 干预措施是可行的,对各种利益相关者来说是可接受的,并突出了成功实施的案例.
结论:
- 扩大高血压治疗和心血管疾病风险管理可以加速降低心血管疾病死亡率.
- 心脏倡议加强初级医疗保健系统,以有效,公平的非传染性疾病管理.
- 该计划的成功为全球CVD预防和控制提供了一个务实的模型,特别是在低收入和中等收入国家.
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