Resolve to Save Lives, New York, US.
International AIDS Society, Geneva, CH.
Glob Heart. 2022 Apr 12;17(1):28. doi: 10.5334/gh.1082. eCollection 2022.
Hypertension is the most important risk factor for cardiovascular diseases (CVDs), which are the leading global cause of death. Hypertension is under-diagnosed and under-treated in most low- and middle-income countries (LMICs). Current algorithms for hypertension treatment are complex for the healthcare worker, limit decentralization, complicate procurement and often translate to a large pill burden for the person with hypertension. We summarize evidence supporting implementation of simple, algorithmic, accessible, non-toxic and effective (SAANE) algorithms to provide a feasible way to access and maintain quality care for hypertension. Implementation of these algorithms will enable task shifting to less specialised health care workers and lay cadres, provision of fixed dose combinations, consolidation of the market while retaining generic competition, simplification of laboratory requirements, and lowering costs for health systems and people who incur out of pocket expenses.
高血压是心血管疾病（CVD）最重要的风险因素，而 CVD 是全球死亡的主要原因。在大多数低收入和中等收入国家（LMICs），高血压的诊断和治疗不足。目前的高血压治疗算法对于医疗保健工作者来说比较复杂，限制了权力下放，使采购复杂化，并且常常给高血压患者带来较大的药物负担。我们总结了支持实施简单、算法化、可及、无毒和有效的（SAANE）算法的证据，为获得和维持高血压的高质量护理提供了一种可行的方法。这些算法的实施将使任务转移到非专业医疗保健工作者和基层干部身上，提供固定剂量组合，在保留仿制药竞争的同时整合市场，简化实验室要求，并降低卫生系统和自费患者的成本。
