Key result
Team-based care with non-physician workers improves hypertension control and supports scaling the HEARTS initiative.
Why the study?
Hypertension affects over 30% of adults in Latin America and the Caribbean with alarmingly low control rates, and implementing team-based care faces cultural and systemic barriers.
Implementing team-based care involving non-physician health workers is a critical, scalable strategy for improving hypertension control and cardiovascular risk management in the Americas.
Supports HEARTS scaling for hypertension control in the Americas; leaves open prospective trials before policy adoption.
Cardiovascular diseases remain the leading cause of premature morbidity and mortality globally, with hypertension as their main modifiable risk factor. In Latin America and the Caribbean, hypertension affects more than 30% of adults, yet control rates remain alarmingly low. The HEARTS in the Americas Initiative, led by the Pan American Health Organization, promotes a model of team-based care to enhance risk management for hypertension and cardiovascular diseases within primary health care. Team-based care leverages the skills of diverse health professionals, including nurses, pharmacists and community health workers, to optimize resource allocation, task-sharing and care delivery. Evidence underscores the effectiveness of team-based care in improving blood pressure control, reducing hospitalizations and enhancing quality of life through strategies such as periodic follow up and medication titration. Despite its benefits, implementing team-based care faces cultural and systemic barriers. This special report outlines a policy framework to scale team-based care across the Region of the Americas, ensuring equitable access to high-quality, cost-effective prevention and care for cardiovascular diseases.
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Irazola et al. (2025) conducted a review in Hypertension and cardiovascular disease. Team-based care was evaluated. Team-based care utilizing non-physician health workers improves hypertension control, prompting a policy framework for scaling the HEARTS initiative across the Americas.
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