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

Journal: Hypertension (Dallas, Tex. : 1979)

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Affiliated Institutions:  Johns Hopkins Bloomberg School of Public Health, Baltimore, MD (K.M., S.Y.A., L.J.A.). Médecins Sans Frontières, United Kingdom of Great Britain and Northern Ireland, London, United Kingdom (H.B.). University of Pennsylvania, Philadelphia (J.C.). Makerere University, Kampala, Uganda (R.K.). Indian Council of Medical Research, New Delhi, India (P.K.). Resolve to Save Lives and Columbia University, New York, NY (A.E.M.). University Teaching Hospital, Lusaka, Zambia (M.M.). Global Health Advocacy Incubator, Washington, DC (V.S.). University of New South Wales, The George Institute for Global Health, Newtown, Australia (A.E.S.). Peking Union Medical College, Beijing, China (R.S.). Beijing Hypertension League Institute, Beijing, China (X.-H.Z.). Department of Noncommunicable Diseases and Mental Health, Pan American Health Organization, Washington, DC (P.O.). WHO, Geneva, Switzerland (T.K.).

Abstract summary 

In 2024, the World Health Organization released a report on Priorities for Research on Hypertension Care Delivery. This article provides its executive summary.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.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.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.

Authors & Co-authors:  Matsushita Kunihiro K Angell Sonia Y SY Appel Lawrence J LJ Bygrave Helen H Cohn Jennifer J Kalyesubula Robert R Kaur Prabhdeep P Moran Andrew E AE Mswema Margaret M Schoj Veronica V Schutte Aletta E AE Shao Ruitai R Zhang Xin-Hua XH Ordunez Pedro P Khan Taskeen T

Study Outcome 

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Statistics
Citations : 
Authors :  15
Identifiers
Doi : 10.1161/HYPERTENSIONAHA.125.24702
SSN : 1524-4563
Study Population
Male,Female
Mesh Terms
Other Terms
feedback;government;hypertension;leadership;research
Study Design
Study Approach
Country of Study
Publication Country
United States