Ebook National High Blood Pressure Prevention And Control: Expert Working Group
High blood pressure is one of the most common and important health problems facing Canadians. It is one of the main risk factors for heart disease, stroke, and kidney failure. Heart disease and stroke account for 37% of all deaths. The mortality rates of heart disease and stroke have decreased in the past several years. This appears to be a result of a combination of factors, including a decrease in smoking and salt consumption, and improved treatment. Nonetheless, as the Canadian population ages, deaths due to these two diseases will increase unless further prevention efforts are undertaken now.
The prevention and control of high blood pressure would have a major impact on health, quality of life, disability, and death among Canadians. It would also reduce the need for health care expenditures for these diseases.
This report will review the scientific evidence that addresses high blood pressure prevention and control, summarize what is being done at the present time, and recommend a strategic plan to improve the Canadian situation. The plan will outline goals for blood pressure prevention and control for Canada, changes that are needed to achieve these goals, and strategies for bringing about the needed changes. While the focus is on the prevention and control of high blood pressure, it is important to place this initiative within a broader strategy for the prevention of stroke and heart disease.
The strategy that is outlined is based on a population health approach, whose goal is to ensure that the allocation of resources has the greatest impact on the reduction of morbidity and morality due to high blood pressure among the population as a whole. A population health approach assists in identifying what needs to be done to promote health, directing how this should be done, and determining whether the desired results were achieved.
Within a population health approach some interventions are directed at individuals, others at the environment in which they live, and others at the health system with the aim of making it work effectively and efficiently. Some of the interventions for individuals will be done within a clinical setting while others will be done in the workplace, school, or general community setting. An analysis of the needs of various sub-groups in the population ensures that programs will be responsive to varying characteristics such as age, income, education, language, and culture.
CONTENTS
KNOWLEDGEMENTS
Expert Working Group
INTRODUCTION
- Past Initiatives
BACKGROUND
- Definition
Scope of High Blood Pressure in the Population
Association of High Blood Pressure with Health Problems
Potential for Prevention of High Blood Pressure
Potential for Control of High Blood Pressure
System Support
OTHER NATIONAL PROGRAMS FOR THE PREVENTION AND CONTROL OF HIGH BLOOD PRESSURE
DESCRIPTION OF A NATIONAL HIGH BLOOD PRESSURE PREVENTION AND CONTROL STRATEGY
- Introduction
Principles of Strategy
Health Goals
Program Outcomes
Strategies
TOWARD IMPLEMENTATION: RECOMMENDATIONS FOR ACTION
REFERENCES
APPENDIX A Activities for the Prevention and Control of High Blood Pressure in Canada
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