Key result
A 4-lever systems-change framework supports population-based interventions to improve hypertension diagnosis and management.
Why the study?
Improving diagnosis and management of hypertension through clinical and community interventions requires a public health framework integrating systems-change levers.
A public health learning collaborative using a systems-change framework can support interventions to improve population-level hypertension control.
May inform public health hypertension strategies; leaves open generalizability and need for controlled evaluations.
Thirty-one state and territorial public health agencies participated in a learning collaborative to improve diagnosis and management of hypertension in clinical and community settings. These health agencies implemented public health and clinical interventions in medical settings and health organizations using a logic model and rapid quality improvement process focused on a framework of 4 systems-change levers: 1) data-driven action, 2) clinical practice standardization, 3) clinical-community linkages, and 4) financing and policy. We provide examples of how public health agencies applied the systems-change framework in all 4 areas to assess and modify population-based interventions to improve control of hypertension. This learning collaborative approach illustrates the importance of public health in the prevention and control of chronic disease by supporting interventions that address community and clinical linkages to address medical risk factors associated with cardiovascular disease.
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Felipe et al. (2019) studied hypertension. systems-change framework was evaluated. Implementation of a 4-lever systems-change framework by 31 public health agencies supported population-based interventions to improve the diagnosis and management of hypertension.
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