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July 4, 2016Journal of Clinical HypertensionOpen Access

Improved Blood Pressure Control to Reduce Cardiovascular Disease Morbidity and Mortality: The Standardized Hypertension Treatment and Prevention Project

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Population

Persons with hypertension, particularly in low- and middle-income countries

Design

Other

Authors

PPPragna PatelCenters for Disease Control and PreventionPOPedro OrdúñezPreventive CardiologyDDDonald J. DiPetteUniversity of South Carolina

Discussion

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Implication

Offers a scalable model for hypertension programs in low-resource settings; leaves open rigorous outcome trials before broad adoption.

Key Points

  • To introduce the Standardized Hypertension Treatment and Prevention Project, a health systems-strengthening framework designed to improve blood pressure control and reduce cardiovascular mortality in low- and middle-income countries.
  • Formulated an evidence-based care delivery model combining standardized treatment protocols with an optimized core set of affordable, reliably procured medications.
  • Integrated health system components including patient registries for cohort monitoring, team-based care (task shifting), patient empowerment initiatives, and community engagement.
  • Established a scalable health systems approach to target the global deficit where only one in seven individuals with hypertension achieves adequate blood pressure control.
  • Defined operational pathways reliant on political commitment and strategic partnerships to mitigate over 10 million annual preventable deaths linked to cardiovascular disease.

Structured PICO

P
Population
Persons with hypertension, particularly in low- and middle-income countries
I
Intervention
Standardized Hypertension Treatment and Prevention Project (health systems-strengthening approach including standardized treatment protocols, core set of medications, registries, patient empowerment, team-based care, and community engagement)

The Standardized Hypertension Treatment and Prevention Project provides a comprehensive health systems-strengthening framework to improve global blood pressure control and reduce cardiovascular morbidity and mortality.

Cite This Study

Patel et al. (2016) studied this question.

synapsesocial.com/papers/6a849705b319f6e7ebb29beahttps://doi.org/10.1111/jch.12861

Topics

Hypertension managementWomen and heart diseaseCardiovascular prevention
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