Sterling Madeline R, Ferranti Erin P, Green Beverly B, Moise Nathalie, Foraker Randi, Nam Soohyun, Juraschek Stephen P, Anderson Cheryl A M, St Laurent Paul, Sussman Jeremy
Circ Cardiovasc Qual Outcomes. 2024 Dec;17(12):e000134. doi: 10.1161/HCQ.0000000000000134. Epub 2024 Nov 13.
To reduce morbidity and mortality rates of cardiovascular disease, an urgent need exists to improve cardiovascular health among US adults. In 2022, the American Heart Association issued Life's Essential 8, which identifies and defines 8 health behaviors and factors that, when optimized through a combination of primary prevention, risk factor management, and effective treatments, can promote ideal cardiovascular health. Because of its central role in patient care across the life span, primary care is in a strategic position to promote Life's Essential 8 and improve cardiovascular health in the United States. High-quality primary care is person-centered, team-based, community-aligned, and designed to provide affordable optimized health care. The purpose of this scientific statement from the American Heart Association is to provide evidence-based guidance on how primary care, as a field and practice, can support patients in implementing Life's Essential 8. The scientific statement aims to describe the role and functions of primary care, provide evidence for how primary care can be leveraged to promote Life's Essential 8, examine the role of primary care in providing access to care and mitigating disparities in cardiovascular health, review challenges in primary care, and propose solutions to address challenges in achieving Life's Essential 8.
为降低心血管疾病的发病率和死亡率,美国成年人迫切需要改善心血管健康状况。2022年,美国心脏协会发布了“生命的八大要素”,确定并定义了8种健康行为和因素,通过一级预防、危险因素管理和有效治疗相结合进行优化时,这些行为和因素可促进理想的心血管健康。由于初级保健在全生命周期患者护理中发挥着核心作用,因此它处于促进“生命的八大要素”并改善美国心血管健康的战略地位。高质量的初级保健以患者为中心、基于团队、与社区保持一致,并旨在提供负担得起的优化医疗保健。美国心脏协会这份科学声明的目的是提供基于证据的指导,说明作为一个领域和实践的初级保健如何能够支持患者实施“生命的八大要素”。该科学声明旨在描述初级保健的作用和功能,为如何利用初级保健促进“生命的八大要素”提供证据,审视初级保健在提供医疗服务和减少心血管健康差异方面的作用,回顾初级保健面临的挑战,并提出解决实现“生命的八大要素”过程中所面临挑战的方案。