A Population-Based Policy and Systems Change Approach to Prevent and Control Hypertension

Hypertension is one of the leading causes of death in the United States, affecting nearly one in three Americans. It is prevalent in adults and endemic in the older adult population. Hypertension is a major contributor to cardiovascular morbidity and disability. Although there is a simple test to diagnose hypertension and relatively inexpensive drugs to treat it, the disease is often undiagnosed and uncontrolled. A Population-Based Policy and Systems Change Approach to the Prevention and Control Hypertension identifies a small set of high-priority areas in which public health officials can focus their efforts to accelerate progress in hypertension reduction and control. It offers several recommendations that embody a population-based approach grounded in the principles of measurement, system change, and accountability. The recommendations are designed to shift current hypertension reduction strategies from an individual-based approach to a population-based approach. They are also designed to improve the quality of care provided to individuals with hypertension and to strengthen the Center for Disease Control and Prevention's leadership in seeking a reduction in the sodium intake in the American diet to meet dietary guidelines. The book is an important resource for federal public health officials and organizations, especially the Center for Disease Control and Prevention, as well as medical professionals and community health workers. Table of ContentsFront MatterSummary1 Introduction2 Public Health Importance of Hypertension3 The Role of the Division for Heart Disease and Stroke Prevention in the Prevention and Control of Hypertension4 Interventions Directed at the General Population5 Interventions Directed at Individuals with Hypertension6 Implementing a Population-Based Policy and Systems Approach to the Prevention and Control of HypertensionAppendix A: Committee Member BiographiesAppendix B:Agendas of Public Meetings Held by the Committee on Public Health Priorities to Reduce and Control HypertensionAppendix C: A Public Health Action Plan to Prevent Heart Disease and StrokeAppendix D: DHDSP Strategic Plan