Mapping stages, barriers and facilitators to the implementation of HEARTS in the Americas initiative in 12 countries. A qualitative study

Digital

Autores:
Giraldo, Gloria P.
Joseph, Kristy T.
Angell, Sonia Y.
Campbell, Norm R. C.
Connell, Kenneth
DiPette, Donald J.
Escobar, Maria C.
Valdés-Gonzalez, Yamile
Jaffe, Marc G.
Malcolm, Taraleen
Maldonado, Javier
Lopez-Jaramillo, Patricio
Olsen, Michael H.
Ordunez, Pedro
Tipo de recurso:
Article of journal
Fecha de publicación:
2021
Institución:
Universidad de Santander
Repositorio:
Repositorio Universidad de Santander
Idioma:
eng
OAI Identifier:
oai:repositorio.udes.edu.co:001/6054
Acceso en línea:
https://repositorio.udes.edu.co/handle/001/6054
Palabra clave:
Rights
openAccess
License
Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)
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dc.title.spa.fl_str_mv Mapping stages, barriers and facilitators to the implementation of HEARTS in the Americas initiative in 12 countries. A qualitative study
title Mapping stages, barriers and facilitators to the implementation of HEARTS in the Americas initiative in 12 countries. A qualitative study
spellingShingle Mapping stages, barriers and facilitators to the implementation of HEARTS in the Americas initiative in 12 countries. A qualitative study
title_short Mapping stages, barriers and facilitators to the implementation of HEARTS in the Americas initiative in 12 countries. A qualitative study
title_full Mapping stages, barriers and facilitators to the implementation of HEARTS in the Americas initiative in 12 countries. A qualitative study
title_fullStr Mapping stages, barriers and facilitators to the implementation of HEARTS in the Americas initiative in 12 countries. A qualitative study
title_full_unstemmed Mapping stages, barriers and facilitators to the implementation of HEARTS in the Americas initiative in 12 countries. A qualitative study
title_sort Mapping stages, barriers and facilitators to the implementation of HEARTS in the Americas initiative in 12 countries. A qualitative study
dc.creator.fl_str_mv Giraldo, Gloria P.
Joseph, Kristy T.
Angell, Sonia Y.
Campbell, Norm R. C.
Connell, Kenneth
DiPette, Donald J.
Escobar, Maria C.
Valdés-Gonzalez, Yamile
Jaffe, Marc G.
Malcolm, Taraleen
Maldonado, Javier
Lopez-Jaramillo, Patricio
Olsen, Michael H.
Ordunez, Pedro
dc.contributor.author.none.fl_str_mv Giraldo, Gloria P.
Joseph, Kristy T.
Angell, Sonia Y.
Campbell, Norm R. C.
Connell, Kenneth
DiPette, Donald J.
Escobar, Maria C.
Valdés-Gonzalez, Yamile
Jaffe, Marc G.
Malcolm, Taraleen
Maldonado, Javier
Lopez-Jaramillo, Patricio
Olsen, Michael H.
Ordunez, Pedro
dc.contributor.researchgroup.spa.fl_str_mv Masira
description Digital
publishDate 2021
dc.date.issued.none.fl_str_mv 2021-03-18
dc.date.accessioned.none.fl_str_mv 2022-02-18T16:53:28Z
dc.date.available.none.fl_str_mv 2022-02-18T16:53:28Z
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dc.identifier.doi.none.fl_str_mv 10.1111/jch.14157
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dc.relation.cites.none.fl_str_mv Giraldo GP, Joseph KT, Angell SY, et al. Mapping stages, barriers and facilitators to the implementation of HEARTS in the Americas initiative in 12 countries: A qualitative study. J Clin Hypertens. 2021;23:755–765. https://doi.org/10.1111/jch.14157
dc.relation.indexed.spa.fl_str_mv Scopus
dc.relation.ispartofjournal.spa.fl_str_mv Journal of Clinical Hypertension
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dc.format.extent.spa.fl_str_mv 11 p
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dc.publisher.spa.fl_str_mv The JCH The Journal of Clinical Hypertension
dc.publisher.place.spa.fl_str_mv USA
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institution Universidad de Santander
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spelling Giraldo, Gloria P.fdd4bb04-3ca2-41db-8923-33ecc56f5cec-1Joseph, Kristy T.66814c8e-13ad-497f-ba3c-9397bdd3babf-1Angell, Sonia Y.5773c022-5259-42cb-a3fc-28c17f9c714c-1Campbell, Norm R. C.e27ecbd7-3032-4e25-ba44-5cd050341ba8-1Connell, Kenneth4a7dde2d-0c7e-4f06-9487-d787c799e9b0-1DiPette, Donald J.acb25f2f-f987-453d-8467-8e4c1d0f34ed-1Escobar, Maria C.322edae0-14cc-43e7-9f78-c3121827a8b5-1Valdés-Gonzalez, Yamilec7355c29-69a1-4520-9449-1fdc4c3dd854-1Jaffe, Marc G.fd17ba95-45c0-43f0-8983-c57253ca81a0-1Malcolm, Taraleenc3f54c2f-cb89-443a-9e33-2811c7642418-1Maldonado, Javier70b2c7ba-1790-465e-8e84-1b09349d1c33-1Lopez-Jaramillo, Patricio9a71267b-dcb0-4d31-b37d-2d30be58d4d2-1Olsen, Michael H.d96b8b11-1d92-4fcf-a0ca-e6dc19d32785-1Ordunez, Pedrod1a5abd5-5fa6-4ba3-8d54-655771650077-1Masira2022-02-18T16:53:28Z2022-02-18T16:53:28Z2021-03-18DigitalThe World Health Organization (WHO) Global Hearts Initiative offers technical packages to reduce the burden of cardiovascular diseases through population-wide and targeted health services interventions. The Pan American Health Organization (PAHO) has led implementation of the HEARTS in the Americas Initiative since 2016. The authors mapped the developmental stages, barriers, and facilitators to implemen-tation among the 371 primary health care centers in the participating 12 countries. The authors used the qualitative method of document review to examine cumula-tive country reports, technical meeting notes, and reports to regional stakeholders. Common implementation barriers include segmentation of health systems, overcom-ing health care professionals' scope of practice legal restrictions, and lack of health information systems limiting operational evaluation and quality improvement mecha-nisms. Main implementation facilitators include political support from ministries of health and leading scientific societies, PAHO's role as a regional catalyst to implemen-tation, stakeholder endorsement demonstrated by incorporating HEARTS into official documents, and having a health system oriented to primary health care. Key lessons include the need for political commitment and cultivating on-the-ground leadership to initiate a shift in hypertension care delivery, accompanied by specific progress in the development of standardized treatment protocols and a set of high-quality medicines. By systematizing an implementation strategy to ease integration of interventions into delivery processes, the program strengthened technical leadership and ensured sus-tainability. These study findings will aid the regional approach by providing a staged planning model that incorporates lessons learned. A systematic approach to imple-mentation will enhance equity, efficiency, scale-up, and sustainability, and ultimately improve population hypertension control.Ciencias Médicas y de la Salud11 papplication/pdf10.1111/jch.14157https://repositorio.udes.edu.co/handle/001/6054engThe JCH The Journal of Clinical HypertensionUSA765475523Giraldo GP, Joseph KT, Angell SY, et al. Mapping stages, barriers and facilitators to the implementation of HEARTS in the Americas initiative in 12 countries: A qualitative study. J Clin Hypertens. 2021;23:755–765. https://doi.org/10.1111/jch.14157ScopusJournal of Clinical Hypertension© 2021 Pan American Health Organization. The Journal of Clinical Hypertension published by Wiley Periodicals LLC.info:eu-repo/semantics/openAccessAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)https://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2https://onlinelibrary.wiley.com/doi/10.1111/jch.14157Mapping stages, barriers and facilitators to the implementation of HEARTS in the Americas initiative in 12 countries. A qualitative studyArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85Todas las AudienciasPublicationORIGINALMapping stages, barriers and facilitators to the implementation of HEARTS in the Americas initiative in 12 countries. A qualitative study.pdfMapping stages, barriers and facilitators to the implementation of HEARTS in the Americas initiative in 12 countries. 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