HEARTS in the Americas appraisal checklist and clinical pathway for comprehensive hypertension management in primary care

Cardiovascular diseases are the leading cause of mortality and morbidity in the Region of the Americas, and hypertension represents its main risk factor. However, population hypertension control rates in the Region are poor. Global Hearts is the World Health Organization's flagship initiative t...

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Main Authors: Andres Rosende, Donald DiPette, Jeffrey Brettler, Gonzalo Rodríguez, Eric Zuniga, Kenneth Connell, Pedro Ordunez
Format: Article
Language:English
Published: Pan American Health Organization 2022-09-01
Series:Revista Panamericana de Salud Pública
Subjects:
Online Access:https://iris.paho.org/handle/10665.2/56271
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author Andres Rosende
Donald DiPette
Jeffrey Brettler
Gonzalo Rodríguez
Eric Zuniga
Kenneth Connell
Pedro Ordunez
author_facet Andres Rosende
Donald DiPette
Jeffrey Brettler
Gonzalo Rodríguez
Eric Zuniga
Kenneth Connell
Pedro Ordunez
author_sort Andres Rosende
collection DOAJ
description Cardiovascular diseases are the leading cause of mortality and morbidity in the Region of the Americas, and hypertension represents its main risk factor. However, population hypertension control rates in the Region are poor. Global Hearts is the World Health Organization's flagship initiative to reduce the burden of cardiovascular diseases. HEARTS in the Americas Initiative is its regional adaptation that seeks to be the cardiovascular disease risk management model, including hypertension and diabetes, in primary health care throughout the Americas by 2025. HEARTS in the Americas is being implemented in 22 countries and over 2 095 primary care centers. All implementing countries have defined their treatment protocols, and HEARTS in the Americas has supported continuous improvement. Because WHO recently released the 2021 Guideline for the Pharmacological Treatment of Hypertension in Adults and HEARTS in the Americas introduced the key drivers for hypertension control, the initiative generated a methodology to help countries update and strengthen their treatment protocols. This article describes the process of developing the treatment protocol appraisal checklist and defines the resulting clinical pathway. This tool can help countries and primary care centers to improve their protocols by identifying the improvement points and upgrading clinical pathways.
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spelling doaj.art-e3bd358d8f044e519b61a88c8ae439802022-12-22T04:05:03ZengPan American Health OrganizationRevista Panamericana de Salud Pública1020-49891680-53482022-09-01461251710.26633/RPSP.2022.125rpspHEARTS in the Americas appraisal checklist and clinical pathway for comprehensive hypertension management in primary careAndres Rosende0Donald DiPette1Jeffrey Brettler2Gonzalo Rodríguez3Eric Zuniga4Kenneth Connell5Pedro Ordunez6Pan American Health Organization, Washington, D.C., United States of America.University of South Carolina, Columbia, United States of America.Southern California Permanente Medical Group, Los Angeles, United States of America.Pan American Health Organization, Buenos Aires, Argentina.University of Antofagasta, Antofagasta, Chile.University of the West Indies, St. Michael, Barbados.Pan American Health Organization, Washington, D.C., United States of America.Cardiovascular diseases are the leading cause of mortality and morbidity in the Region of the Americas, and hypertension represents its main risk factor. However, population hypertension control rates in the Region are poor. Global Hearts is the World Health Organization's flagship initiative to reduce the burden of cardiovascular diseases. HEARTS in the Americas Initiative is its regional adaptation that seeks to be the cardiovascular disease risk management model, including hypertension and diabetes, in primary health care throughout the Americas by 2025. HEARTS in the Americas is being implemented in 22 countries and over 2 095 primary care centers. All implementing countries have defined their treatment protocols, and HEARTS in the Americas has supported continuous improvement. Because WHO recently released the 2021 Guideline for the Pharmacological Treatment of Hypertension in Adults and HEARTS in the Americas introduced the key drivers for hypertension control, the initiative generated a methodology to help countries update and strengthen their treatment protocols. This article describes the process of developing the treatment protocol appraisal checklist and defines the resulting clinical pathway. This tool can help countries and primary care centers to improve their protocols by identifying the improvement points and upgrading clinical pathways.https://iris.paho.org/handle/10665.2/56271cardiovascular diseaseshypertensionpractice guidelineclinical protocolscritical pathwayspublic healthamericas
spellingShingle Andres Rosende
Donald DiPette
Jeffrey Brettler
Gonzalo Rodríguez
Eric Zuniga
Kenneth Connell
Pedro Ordunez
HEARTS in the Americas appraisal checklist and clinical pathway for comprehensive hypertension management in primary care
Revista Panamericana de Salud Pública
cardiovascular diseases
hypertension
practice guideline
clinical protocols
critical pathways
public health
americas
title HEARTS in the Americas appraisal checklist and clinical pathway for comprehensive hypertension management in primary care
title_full HEARTS in the Americas appraisal checklist and clinical pathway for comprehensive hypertension management in primary care
title_fullStr HEARTS in the Americas appraisal checklist and clinical pathway for comprehensive hypertension management in primary care
title_full_unstemmed HEARTS in the Americas appraisal checklist and clinical pathway for comprehensive hypertension management in primary care
title_short HEARTS in the Americas appraisal checklist and clinical pathway for comprehensive hypertension management in primary care
title_sort hearts in the americas appraisal checklist and clinical pathway for comprehensive hypertension management in primary care
topic cardiovascular diseases
hypertension
practice guideline
clinical protocols
critical pathways
public health
americas
url https://iris.paho.org/handle/10665.2/56271
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