Expanding team-based care for hypertension and cardiovascular risk management with HEARTS in the Americas

Autores
Irazola, Vilma; Prado, Carolina; Rosende, Andres; Flood, David; Tsuyuki, Ross; Neira Ojeda, Carolina; Villatoro Reyes, Matias; Otero, Johanna; Alicia Wellmann, Irmgardt; Fajardo, Ileana; Ridley, Emily; Londoño, Esteban; Giraldo, Gloria; Bolastig, Edwin; Moreno Dias, Bruna; Haeberer, Nicolas; Ordunez, Pedro
Año de publicación
2025
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Cardiovascular diseases remain the leading cause of premature morbidity and mortality globally, with hypertension as their main modifiable risk factor. In Latin America and the Caribbean, hypertension affects more than 30% of adults, yet control rates remain alarmingly low. The HEARTS in the Americas Initiative, led by the Pan American Health Organization, promotes a model of team-based care to enhance risk management for hypertension and cardiovascular diseases within primary health care. Team-based care leverages the skills of diverse health professionals, including nurses, pharmacists and community health workers, to optimize resource allocation, task-sharing and care delivery. Evidence underscores the effectiveness of team-based care in improving blood pressure control, reducing hospitalizations and enhancing quality of life through strategies such as periodic follow up and medication titration. Despite its benefits, implementing team-based care faces cultural and systemic barriers. This special report outlines a policy framework to scale team-based care across the Region of the Americas, ensuring equitable access to high-quality, cost-effective prevention and care for cardiovascular diseases.
Fil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Prado, Carolina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Rosende, Andres. Pan American Health Organization; Estados Unidos
Fil: Flood, David. University of Michigan; Estados Unidos
Fil: Tsuyuki, Ross. University of Alberta; Canadá
Fil: Neira Ojeda, Carolina. Ministry Of Health Of Chile; Chile
Fil: Villatoro Reyes, Matias. No especifíca;
Fil: Otero, Johanna. Universidad Santo Tomás;
Fil: Alicia Wellmann, Irmgardt. No especifíca;
Fil: Fajardo, Ileana. Universidad Autónoma de Yucatán;
Fil: Ridley, Emily. No especifíca;
Fil: Londoño, Esteban. Pan American Health Organization; Estados Unidos
Fil: Giraldo, Gloria. Pan American Health Organization; Estados Unidos
Fil: Bolastig, Edwin. Pan American Health Organization; Estados Unidos
Fil: Moreno Dias, Bruna. Pan American Health Organization; Estados Unidos
Fil: Haeberer, Nicolas. Ministerio de Salud de la Nación; Argentina
Fil: Ordunez, Pedro. Pan American Health Organization; Estados Unidos
Materia
Cardiovascular diseases
hypertension
primary health care
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/291172
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/291172
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Expanding team-based care for hypertension and cardiovascular risk management with HEARTS in the AmericasIrazola, VilmaPrado, CarolinaRosende, AndresFlood, DavidTsuyuki, RossNeira Ojeda, CarolinaVillatoro Reyes, MatiasOtero, JohannaAlicia Wellmann, IrmgardtFajardo, IleanaRidley, EmilyLondoño, EstebanGiraldo, GloriaBolastig, EdwinMoreno Dias, BrunaHaeberer, NicolasOrdunez, PedroCardiovascular diseaseshypertensionprimary health carehttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Cardiovascular diseases remain the leading cause of premature morbidity and mortality globally, with hypertension as their main modifiable risk factor. In Latin America and the Caribbean, hypertension affects more than 30% of adults, yet control rates remain alarmingly low. The HEARTS in the Americas Initiative, led by the Pan American Health Organization, promotes a model of team-based care to enhance risk management for hypertension and cardiovascular diseases within primary health care. Team-based care leverages the skills of diverse health professionals, including nurses, pharmacists and community health workers, to optimize resource allocation, task-sharing and care delivery. Evidence underscores the effectiveness of team-based care in improving blood pressure control, reducing hospitalizations and enhancing quality of life through strategies such as periodic follow up and medication titration. Despite its benefits, implementing team-based care faces cultural and systemic barriers. This special report outlines a policy framework to scale team-based care across the Region of the Americas, ensuring equitable access to high-quality, cost-effective prevention and care for cardiovascular diseases.Fil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Prado, Carolina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Rosende, Andres. Pan American Health Organization; Estados UnidosFil: Flood, David. University of Michigan; Estados UnidosFil: Tsuyuki, Ross. University of Alberta; CanadáFil: Neira Ojeda, Carolina. Ministry Of Health Of Chile; ChileFil: Villatoro Reyes, Matias. No especifíca;Fil: Otero, Johanna. Universidad Santo Tomás;Fil: Alicia Wellmann, Irmgardt. No especifíca;Fil: Fajardo, Ileana. Universidad Autónoma de Yucatán;Fil: Ridley, Emily. No especifíca;Fil: Londoño, Esteban. Pan American Health Organization; Estados UnidosFil: Giraldo, Gloria. Pan American Health Organization; Estados UnidosFil: Bolastig, Edwin. Pan American Health Organization; Estados UnidosFil: Moreno Dias, Bruna. Pan American Health Organization; Estados UnidosFil: Haeberer, Nicolas. Ministerio de Salud de la Nación; ArgentinaFil: Ordunez, Pedro. Pan American Health Organization; Estados UnidosOrganización Panamericana de la Salud2025-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/291172Irazola, Vilma; Prado, Carolina; Rosende, Andres; Flood, David; Tsuyuki, Ross; et al.; Expanding team-based care for hypertension and cardiovascular risk management with HEARTS in the Americas; Organización Panamericana de la Salud; Revista Panamericana de Salud Pública; 49; 5-2025; 1-101020-4989CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://iris.paho.org/handle/10665.2/66493info:eu-repo/semantics/altIdentifier/doi/10.26633/RPSP.2025.43info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2026-08-25T15:08:03Zoai:ri.conicet.gov.ar:11336/291172instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982026-08-25 15:08:03.327CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Expanding team-based care for hypertension and cardiovascular risk management with HEARTS in the Americas
title Expanding team-based care for hypertension and cardiovascular risk management with HEARTS in the Americas
spellingShingle Expanding team-based care for hypertension and cardiovascular risk management with HEARTS in the Americas
Irazola, Vilma
Cardiovascular diseases
hypertension
primary health care
title_short Expanding team-based care for hypertension and cardiovascular risk management with HEARTS in the Americas
title_full Expanding team-based care for hypertension and cardiovascular risk management with HEARTS in the Americas
title_fullStr Expanding team-based care for hypertension and cardiovascular risk management with HEARTS in the Americas
title_full_unstemmed Expanding team-based care for hypertension and cardiovascular risk management with HEARTS in the Americas
title_sort Expanding team-based care for hypertension and cardiovascular risk management with HEARTS in the Americas
dc.creator.none.fl_str_mv Irazola, Vilma
Prado, Carolina
Rosende, Andres
Flood, David
Tsuyuki, Ross
Neira Ojeda, Carolina
Villatoro Reyes, Matias
Otero, Johanna
Alicia Wellmann, Irmgardt
Fajardo, Ileana
Ridley, Emily
Londoño, Esteban
Giraldo, Gloria
Bolastig, Edwin
Moreno Dias, Bruna
Haeberer, Nicolas
Ordunez, Pedro
author Irazola, Vilma
author_facet Irazola, Vilma
Prado, Carolina
Rosende, Andres
Flood, David
Tsuyuki, Ross
Neira Ojeda, Carolina
Villatoro Reyes, Matias
Otero, Johanna
Alicia Wellmann, Irmgardt
Fajardo, Ileana
Ridley, Emily
Londoño, Esteban
Giraldo, Gloria
Bolastig, Edwin
Moreno Dias, Bruna
Haeberer, Nicolas
Ordunez, Pedro
author_role author
author2 Prado, Carolina
Rosende, Andres
Flood, David
Tsuyuki, Ross
Neira Ojeda, Carolina
Villatoro Reyes, Matias
Otero, Johanna
Alicia Wellmann, Irmgardt
Fajardo, Ileana
Ridley, Emily
Londoño, Esteban
Giraldo, Gloria
Bolastig, Edwin
Moreno Dias, Bruna
Haeberer, Nicolas
Ordunez, Pedro
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Cardiovascular diseases
hypertension
primary health care
topic Cardiovascular diseases
hypertension
primary health care
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Cardiovascular diseases remain the leading cause of premature morbidity and mortality globally, with hypertension as their main modifiable risk factor. In Latin America and the Caribbean, hypertension affects more than 30% of adults, yet control rates remain alarmingly low. The HEARTS in the Americas Initiative, led by the Pan American Health Organization, promotes a model of team-based care to enhance risk management for hypertension and cardiovascular diseases within primary health care. Team-based care leverages the skills of diverse health professionals, including nurses, pharmacists and community health workers, to optimize resource allocation, task-sharing and care delivery. Evidence underscores the effectiveness of team-based care in improving blood pressure control, reducing hospitalizations and enhancing quality of life through strategies such as periodic follow up and medication titration. Despite its benefits, implementing team-based care faces cultural and systemic barriers. This special report outlines a policy framework to scale team-based care across the Region of the Americas, ensuring equitable access to high-quality, cost-effective prevention and care for cardiovascular diseases.
Fil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Prado, Carolina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Rosende, Andres. Pan American Health Organization; Estados Unidos
Fil: Flood, David. University of Michigan; Estados Unidos
Fil: Tsuyuki, Ross. University of Alberta; Canadá
Fil: Neira Ojeda, Carolina. Ministry Of Health Of Chile; Chile
Fil: Villatoro Reyes, Matias. No especifíca;
Fil: Otero, Johanna. Universidad Santo Tomás;
Fil: Alicia Wellmann, Irmgardt. No especifíca;
Fil: Fajardo, Ileana. Universidad Autónoma de Yucatán;
Fil: Ridley, Emily. No especifíca;
Fil: Londoño, Esteban. Pan American Health Organization; Estados Unidos
Fil: Giraldo, Gloria. Pan American Health Organization; Estados Unidos
Fil: Bolastig, Edwin. Pan American Health Organization; Estados Unidos
Fil: Moreno Dias, Bruna. Pan American Health Organization; Estados Unidos
Fil: Haeberer, Nicolas. Ministerio de Salud de la Nación; Argentina
Fil: Ordunez, Pedro. Pan American Health Organization; Estados Unidos
description Cardiovascular diseases remain the leading cause of premature morbidity and mortality globally, with hypertension as their main modifiable risk factor. In Latin America and the Caribbean, hypertension affects more than 30% of adults, yet control rates remain alarmingly low. The HEARTS in the Americas Initiative, led by the Pan American Health Organization, promotes a model of team-based care to enhance risk management for hypertension and cardiovascular diseases within primary health care. Team-based care leverages the skills of diverse health professionals, including nurses, pharmacists and community health workers, to optimize resource allocation, task-sharing and care delivery. Evidence underscores the effectiveness of team-based care in improving blood pressure control, reducing hospitalizations and enhancing quality of life through strategies such as periodic follow up and medication titration. Despite its benefits, implementing team-based care faces cultural and systemic barriers. This special report outlines a policy framework to scale team-based care across the Region of the Americas, ensuring equitable access to high-quality, cost-effective prevention and care for cardiovascular diseases.
publishDate 2025
dc.date.none.fl_str_mv 2025-05
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/291172
Irazola, Vilma; Prado, Carolina; Rosende, Andres; Flood, David; Tsuyuki, Ross; et al.; Expanding team-based care for hypertension and cardiovascular risk management with HEARTS in the Americas; Organización Panamericana de la Salud; Revista Panamericana de Salud Pública; 49; 5-2025; 1-10
1020-4989
CONICET Digital
CONICET
url http://hdl.handle.net/11336/291172
identifier_str_mv Irazola, Vilma; Prado, Carolina; Rosende, Andres; Flood, David; Tsuyuki, Ross; et al.; Expanding team-based care for hypertension and cardiovascular risk management with HEARTS in the Americas; Organización Panamericana de la Salud; Revista Panamericana de Salud Pública; 49; 5-2025; 1-10
1020-4989
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://iris.paho.org/handle/10665.2/66493
info:eu-repo/semantics/altIdentifier/doi/10.26633/RPSP.2025.43
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Organización Panamericana de la Salud
publisher.none.fl_str_mv Organización Panamericana de la Salud
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.24418

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