Optimizing the prevention, recognition, and care of hypertension requires a paradigm shift to team-based care and the use of targeted and population-based strategies to control blood pressure.
Effective prevention and control of hypertension requires a multilevel approach incorporating targeted and population-based strategies, as well as team-based care.
Hypertension, the leading risk factor for cardiovascular disease, originates from combined genetic, environmental, and social determinants. Environmental factors include overweight/obesity, unhealthy diet, excessive dietary sodium, inadequate dietary potassium, insufficient physical activity, and consumption of alcohol. Prevention and control of hypertension can be achieved through targeted and/or population-based strategies. For control of hypertension, the targeted strategy involves interventions to increase awareness, treatment, and control in individuals. Corresponding population-based strategies involve interventions designed to achieve a small reduction in blood pressure (BP) in the entire population. Having a usual source of care, optimizing adherence, and minimizing therapeutic inertia are associated with higher rates of BP control. The Chronic Care Model, a collaborative partnership among the patient, provider, and health system, incorporates a multilevel approach for control of hypertension. Optimizing the prevention, recognition, and care of hypertension requires a paradigm shift to team-based care and the use of strategies known to control BP.
Carey et al. (Sat,) conducted a review in Hypertension. Prevention and control strategies was evaluated. Optimizing the prevention, recognition, and care of hypertension requires a paradigm shift to team-based care and the use of targeted and population-based strategies to control blood pressure.
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