An Intersectoral Approach to Hypertension Care : Solutions for Improving Blood Pressure Control in São Paulo, Brazil
© The Author(s) 2024. Published by Oxford University Press on behalf of American Journal of Hypertension, Ltd..
BACKGROUND: Hypertension is the leading risk factor for cardiovascular diseases (CVDs) and a major public health issue worldwide. In Brazil, it affects approximately 52.5% of the adult population. We describe the solutions package and the impact of a population health initiative in São Paulo city, following the CARDIO4Cities approach for the management of cardiovascular risk.
METHODS: Using a design thinking approach, interventions were developed with a coalition of local and international stakeholders to address needs of patients, healthcare professionals, and the health system. The resulting solution package was checked to comply with guidelines for non-communicable disease and hypertension management. Clinical impact was measured by extracting the hypertension cascade of care-monitored, diagnosis, treatment, and control-from medical records.
RESULTS: Under the leadership of the municipal health authorities, nine solutions were piloted and scaled across the city. Solutions conform with local and international best-practices. Between October 2017 and December 2021, 11,406 patient records were analyzed. Results showed a 40% increase in monitored patients (patients with at least one blood pressure, BP, measurement); reduced proportions of patients diagnosed among those with available BP measurements (72%-53%) and treated among diagnosed (93%-85%); and an improvement in controlled patients among those receiving treatment (16%-27%).
CONCLUSIONS: The solution package described in this study was correlated with increased BP control. The implementation methodology and results add to the body of real-world evidence supporting population health implementation science in Brazil and beyond.
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:37 |
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| Enthalten in: |
American journal of hypertension - 37(2024), 5 vom: 15. Apr., Seite 366-378 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Avezum, Álvaro [VerfasserIn] |
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| Links: |
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| Themen: |
Blood pressure |
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Date Completed 16.04.2024 Date Revised 25.04.2024 published: Print ErratumIn: Am J Hypertens. 2024 Mar 02;:. - PMID 38431283 Citation Status MEDLINE |
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| doi: |
10.1093/ajh/hpae005 |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © The Author(s) 2024. Published by Oxford University Press on behalf of American Journal of Hypertension, Ltd. | ||
| 520 | |a BACKGROUND: Hypertension is the leading risk factor for cardiovascular diseases (CVDs) and a major public health issue worldwide. In Brazil, it affects approximately 52.5% of the adult population. We describe the solutions package and the impact of a population health initiative in São Paulo city, following the CARDIO4Cities approach for the management of cardiovascular risk | ||
| 520 | |a METHODS: Using a design thinking approach, interventions were developed with a coalition of local and international stakeholders to address needs of patients, healthcare professionals, and the health system. The resulting solution package was checked to comply with guidelines for non-communicable disease and hypertension management. Clinical impact was measured by extracting the hypertension cascade of care-monitored, diagnosis, treatment, and control-from medical records | ||
| 520 | |a RESULTS: Under the leadership of the municipal health authorities, nine solutions were piloted and scaled across the city. Solutions conform with local and international best-practices. Between October 2017 and December 2021, 11,406 patient records were analyzed. Results showed a 40% increase in monitored patients (patients with at least one blood pressure, BP, measurement); reduced proportions of patients diagnosed among those with available BP measurements (72%-53%) and treated among diagnosed (93%-85%); and an improvement in controlled patients among those receiving treatment (16%-27%) | ||
| 520 | |a CONCLUSIONS: The solution package described in this study was correlated with increased BP control. The implementation methodology and results add to the body of real-world evidence supporting population health implementation science in Brazil and beyond | ||
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| 700 | 1 | |a Leonel, Lays P |e verfasserin |4 aut | |
| 700 | 1 | |a Abreu, Ariane |e verfasserin |4 aut | |
| 700 | 1 | |a Bortolotto, Luiz |e verfasserin |4 aut | |
| 700 | 1 | |a Palmeirim, Marta Sólveig |e verfasserin |4 aut | |
| 700 | 1 | |a Silveira, Mariana |e verfasserin |4 aut | |
| 700 | 1 | |a Aquino, Beatriz |e verfasserin |4 aut | |
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