Drivers and scorecards to improve hypertension control in primary care practice: Recommendations from the HEARTS in the Americas Innovation Group

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dc.contributor.authorBrettler, Jeffrey W.
dc.contributor.authorGiraldo Arcila, Gloria P
dc.contributor.authorAumala, Teresa
dc.contributor.authorBest, Allana
dc.contributor.authorRC Campbell, Norm
dc.contributor.authorCyr, Shana
dc.contributor.authorGamarra, Angelo
dc.contributor.authorJaffe, Marc G.
dc.contributor.authorDe la Rosa, Mirna Jimenez
dc.contributor.authorMaldonado, Javier
dc.contributor.authorNeira Ojeda, Carolina
dc.contributor.authorHaughton, Modesta
dc.contributor.authorMalcolm, Taraleen
dc.contributor.authorPerez, Vivian
dc.contributor.authorRodriguez, Gonzalo
dc.contributor.authorRosende, Andres
dc.contributor.authorGonz alez, Yamille Valdés
dc.contributor.authorPeter W. Wood,
dc.date.accessioned2025-12-22T18:22:55Z
dc.date.available2025-12-22T18:22:55Z
dc.date.issued2022
dc.description.abstractBackground Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in the Americas, and hypertension is the most significant modifiable risk factor. However, hypertension control rates remain low, and CVD mortality is stagnant or rising after decades of continuing reduction. In 2016, the World Health Organization (WHO) launched the HEARTS technical package to improve hypertension control. The Pan American Health Organization (PAHO) designed the HEARTS in the Americas Initiative to improve CVD risk management, emphasizing hypertension control, to date implemented in 21 countries. Methods To advance implementation, an interdisciplinary group of practitioners was engaged to select the key evidence-based drivers of hypertension control and to design a comprehensive scorecard to monitor their implementation at primary care health facilities (PHC). The group studied high-performing health systems that achieve high hypertension control through quality improvement programs focusing on specific process measures, with regular feedback to providers at health facilities. Findings The final selected eight drivers were categorized into five main domains: (1) diagnosis (blood pressure measurement accuracy and CVD risk evaluation); (2) treatment (standardized treatment protocol and treatment intensification); (3) continuity of care and follow-up; (4) delivery system (team-based care, medication refill), and (5) system for performance evaluation. The drivers and recommendations were then translated into process measures, resulting in two interconnected scorecards integrated into the HEARTS in the Americas monitoring and evaluation system.
dc.description.sponsorshipNo funding to declare.
dc.identifier.doi10.26633/RPSP.2022.68
dc.identifier.issn1020-4989
dc.identifier.urihttps://repositorioabierto.uantof.cl/handle/uantof/587
dc.language.isoen
dc.publisherElsevier Ltd
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourcePan American Journal of Public Health
dc.subjectNoncommunicable diseases
dc.subjectCardiovascular disease
dc.subjectHypertension
dc.subjectLatin America and the Caribbean
dc.subjectQuality improvement
dc.titleDrivers and scorecards to improve hypertension control in primary care practice: Recommendations from the HEARTS in the Americas Innovation Group
dc.typeArticle
oaire.citation.volume58
organization.identifier.rorhttps://ror.org/04eyc6d95
organization.legalNameUniversidad de Antofagasta
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