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Mashup Score: 1Health financing interventions and hypertension control: a... : Journal of Hypertension - 9 day(s) ago
side (pay-for-performance, capitation) and demand-side [conditional cash transfers (CCT), vouchers] financing interventions focused on improving hypertension outcomes in primary care settings. Our review confirmed the paucity of studies, especially from LMICs. Pay-for-performance and capitation had small effects on screening, prescription practices, and blood pressure (BP) control. CCTs had mixed effects on screening and modest effects on BP control. Information on causal pathways, unintended consequences, and the use of vouchers was sparse. We then developed a conceptual model identifying pathways through which financing interventions influence hypertension outcomes. Based on this model, simulations in the context of Bangladesh indicated that pay-for-performance demands substantial financial resources but could become more favorable with increased treatment coverage….
Source: journals.lww.comCategories: General Medicine NewsTweet
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Mashup Score: 17Arm Size Coverage of Popular Over-the-Counter Blood Pressure Devices and Implications in US Adults | Hypertension - 9 month(s) ago
View all available purchase options and get full access to this article. Request permissions for this article. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD (A.R., K.M.) Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD (A.R., K.M.) For Sources of Funding and Disclosures, see page XXX. Correspondence to: Kunihiro Matsushita, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Division of Cardiolog
Source: www.ahajournals.orgCategories: General Medicine News, CardiologistsTweet
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Mashup Score: 5Evaluation of the World Health Organization-HEARTS hypertension control package in Bangladesh: a quasi-experimental trial - 11 month(s) ago
Background The World Health Organization (WHO) promotes the HEARTS technical package for improving hypertension control worldwide, but its effectiveness has not been rigorously evaluated. Objective To compare hypertension outcomes in clinics implementing HEARTS versus clinics continuing usual hypertension care in rural Bangladesh. Methods A matched-pair cluster quasi-experimental trial in Upazila Health Complexes (UHCs; primary healthcare facilities) was conducted in rural Bangladesh. A total of 3935 patients (mean age 52.3 years, 70.5% female) with uncontrolled hypertension (blood pressure (BP) ≥140/90 mm Hg regardless of treatment history) were enrolled: 1950 patients from 7 HEARTS UHCs and 1985 patients from 7 matched usual care UHCs. The primary outcome was systolic BP at 6 months measured at the patient’s home; secondary outcomes were diastolic BP, hypertension control rate (<140/90 mm Hg) and loss to follow-up. Multivariable mixed-effects linear and Poisson models were conducted.
Source: heart.bmj.comCategories: General Medicine News, CardiologistsTweet
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Mashup Score: 8On-demand mobile hypertension training for primary health care workers in Nigeria: a pilot study - BMC Health Services Research - 1 year(s) ago
Background Only one out of every ten Nigerian adults with hypertension has their blood pressure controlled. Health worker training is essential to improve hypertension diagnosis and treatment. In-person training has limitations that mobile, on-demand training might address. This pilot study evaluated a self-paced, case-based, mobile-optimized online training to diagnose and manage hypertension for Nigerian health workers. Methods Twelve hypertension training modules were developed, based on World Health Organization and Nigerian guidelines. After review by local academic and government partners, the course was piloted by Nigerian health workers at government-owned primary health centers. Primary care physician, nurse, and community health worker participants completed the course on their own smartphones. Before and after the course, hypertension knowledge was evaluated with multiple-choice questions. Learners provided feedback by responding to questions on a Likert scale. Results Out o
Categories: General Medicine News, Cardiologists1Tweet
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Mashup Score: 3
Welch Center for Prevention, Epidemiology, and Clinical Research | 16 followers on LinkedIn. “Where Public Health and Medicine Meet” | Everything we do is designed to strengthen the practice of medicine, improve the health of people and populations, and mentor the next generation of researchers to carry on this work. The Welch Center is a place for interdisciplinary faculty and trainees to collaborate on groundbreaking epidemiologic, clinical, and translational research related to preventing and controlling chronic diseases.
Source: www.linkedin.comCategories: General Medicine News, Cardiologists1Tweet
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Mashup Score: 15Association of Segment‐Specific Pulse Wave Velocity With Vascular Calcification: The ARIC (Atherosclerosis Risk in Communities) Study - 1 year(s) ago
Background Pulse wave velocity (PWV) is a noninvasive measure of arterial stiffness and predictor of cardiovascular disease. However, the association between PWV and vascular calcification across d…
Source: www.ahajournals.orgCategories: General Medicine News, Cardiologists1Tweet
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Mashup Score: 27Temporal Trends in Lipoprotein(a) Concentrations: The Atherosclerosis Risk in Communities Study - 3 year(s) ago
Background Plasma lipoprotein(a) (Lp[a]) concentrations are primarily determined by genetic factors and are believed to remain stable throughout life. However, data are scarce on longitudinal trend…
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RT @CBallantyneMD: Temporal Trends in Lipoprotein(a) Concentrations: The Atherosclerosis Risk in Communities Study https://t.co/vLcA8niknj.…
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RT @CBallantyneMD: Temporal Trends in Lipoprotein(a) Concentrations: The Atherosclerosis Risk in Communities Study https://t.co/vLcA8niknj.…
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Hot off the press: A new article from our team @JohnsHopkinsSPH about health financing interventions (eg pay-for-performance) and #hypertension control: 1⃣narrative review 2⃣conceptual framework 3⃣hypothetical simulation @ResolveTSL @JohnsHopkinsEPI https://t.co/umgvnsUVZx