Improving cardiovascular health with the patient-centered, integrated primary care HEARTS model in Trinidad and Tobago
This article describes the introduction of the Pan American Health Organization’s HEARTS in the Americas program in Trinidad and Tobago and the successful experiences and challenges encountered in introducing and scaling it up as a strategy for strengthening the health system’s response to cardiovas...
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ftdoajarticles:oai:doaj.org/article:823202af05ed4f4cb454e3975bd554c2 2023-05-15T15:14:22+02:00 Improving cardiovascular health with the patient-centered, integrated primary care HEARTS model in Trinidad and Tobago Rohit Doon Taraleen Malcolm Yvonne Lewis Latifah Holder LaDonna Gulston Abdul Hamid Allana Best Roxanne Mitchell Pedram Lalla 2022-09-01T00:00:00Z https://doi.org/10.26633/RPSP.2022.169 https://doaj.org/article/823202af05ed4f4cb454e3975bd554c2 EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/56430 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2022.169 https://doaj.org/article/823202af05ed4f4cb454e3975bd554c2 Revista Panamericana de Salud Pública, Vol 46, Iss 169, Pp 1-6 (2022) cardiovascular disease primary health care health systems patient-centered care trinidad and tobago Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2022 ftdoajarticles https://doi.org/10.26633/RPSP.2022.169 2022-12-30T19:58:29Z This article describes the introduction of the Pan American Health Organization’s HEARTS in the Americas program in Trinidad and Tobago and the successful experiences and challenges encountered in introducing and scaling it up as a strategy for strengthening the health system’s response to cardiovascular diseases. Evidence about implementation of the HEARTS program in the World Health Organization’s Region of the Americas was reviewed to identify the progress made, barriers, success factors and lessons learned. In 2019, the Ministry of Health commenced implementation of the program in 5 (4.9%) of the 102 primary health care centers, and by the end of 2021, it had been scaled up to 46 (45.0%) centers. The HEARTS program ensures that patients’ cardiovascular health is managed in a comprehensive way through providing counseling about a healthy lifestyle, using evidence-based treatment protocols, ensuring access to essential medicines and technologies, and using a risk-based team approach, a monitoring and evaluation system and also a teambased approach to care delivery. The barriers encountered during implementation included the fragmentation of the existing health care system, the paternalistic role assumed by health care professionals, the resistance of some health care workers to change and a lack of team-based approaches to providing care. Successful implementation of the program was enabled through ensuring high-level political commitment, establishing the national HEARTS Oversight Committee, ensuring stakeholder involvement throughout all phases and implementing standardized approaches to care. When implemented in the context of existing primary health care settings, the HEARTS program provides an exceptionally well integrated and comprehensive model of care that embodies the principles of universal health care while ensuring the health of both populations and individuals. Thus, it enables and promotes a strengthened primary health care system and services that are responsive and resilient. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Trinidad ENVELOPE(-60.734,-60.734,-63.816,-63.816) Revista Panamericana de Salud Pública |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
cardiovascular disease primary health care health systems patient-centered care trinidad and tobago Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
cardiovascular disease primary health care health systems patient-centered care trinidad and tobago Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Rohit Doon Taraleen Malcolm Yvonne Lewis Latifah Holder LaDonna Gulston Abdul Hamid Allana Best Roxanne Mitchell Pedram Lalla Improving cardiovascular health with the patient-centered, integrated primary care HEARTS model in Trinidad and Tobago |
topic_facet |
cardiovascular disease primary health care health systems patient-centered care trinidad and tobago Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
This article describes the introduction of the Pan American Health Organization’s HEARTS in the Americas program in Trinidad and Tobago and the successful experiences and challenges encountered in introducing and scaling it up as a strategy for strengthening the health system’s response to cardiovascular diseases. Evidence about implementation of the HEARTS program in the World Health Organization’s Region of the Americas was reviewed to identify the progress made, barriers, success factors and lessons learned. In 2019, the Ministry of Health commenced implementation of the program in 5 (4.9%) of the 102 primary health care centers, and by the end of 2021, it had been scaled up to 46 (45.0%) centers. The HEARTS program ensures that patients’ cardiovascular health is managed in a comprehensive way through providing counseling about a healthy lifestyle, using evidence-based treatment protocols, ensuring access to essential medicines and technologies, and using a risk-based team approach, a monitoring and evaluation system and also a teambased approach to care delivery. The barriers encountered during implementation included the fragmentation of the existing health care system, the paternalistic role assumed by health care professionals, the resistance of some health care workers to change and a lack of team-based approaches to providing care. Successful implementation of the program was enabled through ensuring high-level political commitment, establishing the national HEARTS Oversight Committee, ensuring stakeholder involvement throughout all phases and implementing standardized approaches to care. When implemented in the context of existing primary health care settings, the HEARTS program provides an exceptionally well integrated and comprehensive model of care that embodies the principles of universal health care while ensuring the health of both populations and individuals. Thus, it enables and promotes a strengthened primary health care system and services that are responsive and resilient. |
format |
Article in Journal/Newspaper |
author |
Rohit Doon Taraleen Malcolm Yvonne Lewis Latifah Holder LaDonna Gulston Abdul Hamid Allana Best Roxanne Mitchell Pedram Lalla |
author_facet |
Rohit Doon Taraleen Malcolm Yvonne Lewis Latifah Holder LaDonna Gulston Abdul Hamid Allana Best Roxanne Mitchell Pedram Lalla |
author_sort |
Rohit Doon |
title |
Improving cardiovascular health with the patient-centered, integrated primary care HEARTS model in Trinidad and Tobago |
title_short |
Improving cardiovascular health with the patient-centered, integrated primary care HEARTS model in Trinidad and Tobago |
title_full |
Improving cardiovascular health with the patient-centered, integrated primary care HEARTS model in Trinidad and Tobago |
title_fullStr |
Improving cardiovascular health with the patient-centered, integrated primary care HEARTS model in Trinidad and Tobago |
title_full_unstemmed |
Improving cardiovascular health with the patient-centered, integrated primary care HEARTS model in Trinidad and Tobago |
title_sort |
improving cardiovascular health with the patient-centered, integrated primary care hearts model in trinidad and tobago |
publisher |
Pan American Health Organization |
publishDate |
2022 |
url |
https://doi.org/10.26633/RPSP.2022.169 https://doaj.org/article/823202af05ed4f4cb454e3975bd554c2 |
long_lat |
ENVELOPE(-60.734,-60.734,-63.816,-63.816) |
geographic |
Arctic Trinidad |
geographic_facet |
Arctic Trinidad |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 46, Iss 169, Pp 1-6 (2022) |
op_relation |
https://iris.paho.org/handle/10665.2/56430 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2022.169 https://doaj.org/article/823202af05ed4f4cb454e3975bd554c2 |
op_doi |
https://doi.org/10.26633/RPSP.2022.169 |
container_title |
Revista Panamericana de Salud Pública |
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1766344824862015488 |