Priorities for Research on Hypertension Care Delivery: A WHO Report Executive Summary

医学 劳动力 服务交付框架 医疗保健 主题分析 范围(计算机科学) 实施研究 护理部 家庭医学 服务(商务) 业务 定性研究 政治学 营销 社会科学 社会学 计算机科学 心理干预 法学 程序设计语言
作者
Kunihiro Matsushita,Sonia Y. Angell,Lawrence J. Appel,Helen Bygrave,Jennifer Cohn,Robert Kalyesubula,Prabhdeep Kaur,Andrew E. Moran,Margaret Mswema,Verónica Schoj,Aletta E. Schutte,Ruitai Shao,Xinhua Zhang,Pedro Ordúñez,Taskeen Khan
出处
期刊:Hypertension [Lippincott Williams & Wilkins]
标识
DOI:10.1161/hypertensionaha.125.24702
摘要

BACKGROUND: In 2024, the World Health Organization released a report on Priorities for Research on Hypertension Care Delivery. This article provides its executive summary. METHODS: The World Health Organization and its technical experts formed a leadership team, developed a scope and objectives, created a thematic framework, developed a survey for each theme, and identified research priorities. The 5 themes included (1) Health care workforce for hypertension care delivery, (2) Service delivery system/models, (3) Patient retention/adherence, (4) Financing the care delivery system, and (5) Research gaps identified in the World Health Organization 2021 Hypertension Guideline. The leadership team received feedback from diverse experts through webinars and online surveys. The final report was peer-reviewed by external experts. RESULTS: According to postwebinar surveys, we identified 5 to 7 research priorities within each theme, totaling 29 research priorities. The 10 highest priorities were (1) Cost-effectiveness of combination therapy in low/middle-income countries, (2) A system allowing hypertension care closer to home, (3) Health system reform allowing trained community health workers to refill/initiate/titrate antihypertensive medications, (4) Health system reform allowing nurses to diagnose and treat hypertension, (5) Gaps in the medication supply chain, (6) New approaches integrating the management of hypertension and other diseases, (7) Digital approaches for improving medication adherence, (8) Optimal approaches to train health care workers, (9) Approaches to finance hypertension control programs, and (10) Implementation research on task-sharing approaches. CONCLUSIONS: These research priorities provide guidance to researchers, with immediate implications for substantially improve hypertension care and prevent its sequelae. We urge governments, funding agencies, and organizations to consider supporting these research topics.
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