Publicação
Improving hypertension outcome measurement in low and middle-income countries
| dc.contributor.author | Zack, Rachel | |
| dc.contributor.author | Okunade, Oluwakemi | |
| dc.contributor.author | Olson, Elizabeth | |
| dc.contributor.author | Salt, Matthew | |
| dc.contributor.author | Amodeo, Celso | |
| dc.contributor.author | Anchala, Raghupathy | |
| dc.contributor.author | Berwanger, Otavio | |
| dc.contributor.author | Campbell, Norm | |
| dc.contributor.author | Chia, Yook-Chin | |
| dc.contributor.author | Damasceno, Albertino | |
| dc.contributor.author | Phuong Do, Thi Nam | |
| dc.contributor.author | Tamdja Dzudie, Anastase | |
| dc.contributor.author | Fiuza, Manuela | |
| dc.contributor.author | Mirza, Fareed | |
| dc.contributor.author | Nitsch, Dorothea | |
| dc.contributor.author | Ogedegbe, Gbenga | |
| dc.contributor.author | Podpalov, Vladislav | |
| dc.contributor.author | Schiffrin, Ernesto L. | |
| dc.contributor.author | Carneiro, António Vaz | |
| dc.contributor.author | Lamptey, Peter | |
| dc.date.accessioned | 2019-04-02T10:42:04Z | |
| dc.date.available | 2019-04-02T10:42:04Z | |
| dc.date.issued | 2019 | |
| dc.description | © 2019 American Heart Association, Inc. All rights reserved. Unauthorized use prohibited. | pt_PT |
| dc.description.abstract | High blood pressure is the leading modifiable risk factor for mortality, accounting for nearly 1 in 5 deaths worldwide and 1 in 11 in low-income countries. Hypertension control remains a challenge, especially in low-resource settings. One approach to improvement is the prioritization of patient-centered care. However, consensus on the outcomes that matter most to patients is lacking. We aimed to define a standard set of patient-centered outcomes for evaluating hypertension management in low- and middle-income countries. The International Consortium for Health Outcomes Measurement convened a Working Group of 18 experts and patients representing 15 countries. We used a modified Delphi process to reach consensus on a set of outcomes, case-mix variables, and a timeline to guide data collection. Literature reviews, patient interviews, a patient validation survey, and an open review by hypertension experts informed the set. The set contains 18 clinical and patient-reported outcomes that reflect patient priorities and evidence-based hypertension management and case-mix variables to allow comparisons between providers. The domains included are hypertension control, cardiovascular complications, health-related quality of life, financial burden of care, medication burden, satisfaction with care, health literacy, and health behaviors. We present a core list of outcomes for evaluating hypertension care. They account for the unique challenges healthcare providers and patients face in low- and middle-income countries, yet are relevant to all settings. We believe that it is a vital step toward international benchmarking in hypertension care and, ultimately, value-based hypertension management. | pt_PT |
| dc.description.sponsorship | This study was supported by the Novartis Foundation. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Hypertension. 2019;73:00-00 | pt_PT |
| dc.identifier.doi | 10.1161/HYPERTENSIONAHA.118.11916 | pt_PT |
| dc.identifier.issn | 0194-911X | |
| dc.identifier.uri | http://hdl.handle.net/10451/37802 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | American Heart Association | pt_PT |
| dc.relation.publisherversion | https://www.ahajournals.org/journal/hyp | pt_PT |
| dc.subject | Hypertension | pt_PT |
| dc.subject | Patient-centered care | pt_PT |
| dc.subject | Quality of life | pt_PT |
| dc.title | Improving hypertension outcome measurement in low and middle-income countries | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.title | Hypertension | pt_PT |
| person.familyName | Fiuza | |
| person.familyName | Vaz Carneiro | |
| person.givenName | Manuela | |
| person.givenName | António | |
| person.identifier.orcid | 0000-0002-7742-6195 | |
| person.identifier.orcid | 0000-0002-2783-0544 | |
| person.identifier.rid | L-8026-2013 | |
| person.identifier.scopus-author-id | 6701659391 | |
| person.identifier.scopus-author-id | 7006837792 | |
| rcaap.rights | restrictedAccess | pt_PT |
| rcaap.type | article | pt_PT |
| relation.isAuthorOfPublication | db433720-8321-488c-ad7e-42e987b41375 | |
| relation.isAuthorOfPublication | 376d157f-1127-4663-9d99-038dac28f37d | |
| relation.isAuthorOfPublication.latestForDiscovery | 376d157f-1127-4663-9d99-038dac28f37d |