Ordunez Pedro, Campbell Norm R C, Giraldo Arcila Gloria P, Angell Sonia Y, Lombardi Cintia, Brettler Jeffrey W, Rodríguez Morales Yenny A, Connell Kenneth L, Gamarra Angelo, DiPette Donald J, Rosende Andres, Jaffe Marc G, Rodríguez Libardo, Piñeiro Daniel J, Martínez Ramón, Sharman James E
Departamento de Enfermedades No Transmisibles y Salud Mental Organización Panamericana de la Salud Washington, D. C. Estados Unidos de América Departamento de Enfermedades No Transmisibles y Salud Mental, Organización Panamericana de la Salud, Washington, DC (Estados Unidos). Washington, D. C., Estados Unidos de América.
Departamento de Medicina, Fisiología y Farmacología y Ciencias de Salud de la Comunidad Instituto Cardiovascular Libin de Alberta Universidad de Calgary Calgary Canadá Departamento de Medicina, Fisiología y Farmacología y Ciencias de Salud de la Comunidad, Instituto Cardiovascular Libin de Alberta, Universidad de Calgary, Calgary, Canadá.
Rev Panam Salud Publica. 2022 Oct 17;46:e197. doi: 10.26633/RPSP.2022.197. eCollection 2022.
Global Hearts is the flagship initiative of the World Health Organization to reduce the burden of cardiovascular diseases, the leading cause of death and disability worldwide. HEARTS in the Americas Initiative is the regional adaptation that envisions HEARTS as the model for cardiovascular disease risk management, including hypertension and diabetes, in primary health care in the Americas by 2025. This initiative is entering its sixth year of implementation and now includes 22 countries and 1 380 primary health care centers. The objectives of this report are three-fold. First, it describes the emergence and the main elements of HEARTS in the Americas. Secondly, it summarizes the main innovations developed to catalyze and sustain implementation of the initiative. These innovations include: a) introduction of hypertension control drivers; b) development of a comprehensive and practical clinical pathway; c) development of a strategy to improve the accuracy of blood pressure measurement; d) creation of a monitoring and evaluation platform; and e) development of a standardized set of training and education resources. Thirdly, this report discusses future priorities of the initiative. The goal of implementing these innovative and pragmatic solutions is to create a more effective health system and shift the focus of cardiovascular and hypertension programs from the highly specialized care level to primary health care. In addition, HEARTS in the Americas can serve as a model for more comprehensive, effective, and sustainable noncommunicable disease prevention and treatment practices.
“全球心脏计划”是世界卫生组织的旗舰倡议，旨在减轻心血管疾病的负担，心血管疾病是全球死亡和残疾的主要原因。“美洲心脏计划倡议”是该计划在美洲地区的适应性举措，其目标是到2025年，将“心脏计划”打造成为美洲初级卫生保健中心血管疾病风险管理（包括高血压和糖尿病）的典范。该倡议已进入实施的第六个年头，目前涵盖22个国家和1380个初级卫生保健中心。本报告的目标有三个。其一，描述“美洲心脏计划”的出现及主要内容。其二，总结为推动和持续实施该倡议而开发的主要创新举措。这些创新包括：a）引入高血压控制驱动因素；b）制定全面实用的临床路径；c）制定提高血压测量准确性的策略；d）创建监测和评估平台；e）开发一套标准化的培训和教育资源。其三，本报告讨论该倡议未来的优先事项。实施这些创新务实解决方案的目标是创建一个更有效的卫生系统，并将心血管疾病和高血压项目的重点从高度专业化护理层面转移到初级卫生保健。此外，“美洲心脏计划”可成为更全面、有效和可持续的非传染性疾病预防与治疗实践的典范。
