Patient-Centered, Sustainable Hypertension Care: The Case for Adopting a Differentiated Service Delivery Model for Hypertension Services in Low- and Middle-Income Countries
Rebecca L. Tisdale,
Danielle Cazabon,
Andrew E. Moran,
Miriam Rabkin,
Helen Bygrave,
Jennifer Cohn
Affiliations
Rebecca L. Tisdale
Stanford Health Policy, Centers for Health Policy/Primary Care and Outcomes Research, Department of Medicine, Stanford University School of Medicine, Stanford, California; Veterans Affairs Palo Alto Health Care System, Palo Alto, California
Danielle Cazabon
Resolve to Save Lives, an initiative of Vital Strategies, New York
Andrew E. Moran
Resolve to Save Lives, an initiative of Vital Strategies, New York; Department of Medicine, Columbia University, New York
Miriam Rabkin
Department of Medicine, Columbia University, New York; ICAP at Columbia University, Columbia University Mailman School of Public Health, New York; Department of Epidemiology, Columbia University Mailman School of Public Health, New York
Helen Bygrave
International AIDS Society, Geneva
Jennifer Cohn
Resolve to Save Lives, an initiative of Vital Strategies, New York; Division of Infectious Diseases, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
Expanding hypertension services in low- and middle-income countries requires efficient and effective service delivery approaches that meet the needs and expectations of people living with hypertension within the resource constraints of existing national health systems. Ideally, a hypertension program will extend treatment coverage while maintaining service quality, maximizing efficient resource utilization and improving clinical outcomes. In this article, we discuss lessons learned from HIV differentiated service delivery initiatives, and make the case that the same approach should be adopted for hypertension programs.
