title: Implementation of management strategies for diabetes and hypertension: from local to global health in cardiovascular diseases.
abstract: Diabetes and hypertension are chronic conditions that are growing in prevalence as major causal factors of cardiovascular disease (CVD). The need for chronic-illness surveillance, population-risk management, and successful treatment interventions are crucial for reducing the burden of future CVD. Addressing these problems will require population-risk stratification, task-sharing and -shifting, and community-as well as network-based care. Information technology tools also provide new opportunities for identifying those at risk and for implementing comprehensive approaches to achieving the goal of improved health locally, regionally, nationally, and globally. This article discusses ongoing efforts at one university health center in the implementation of management strategies for diabetes and hypertension at the local, regional, national, and global levels.
authors.affiliation: Duke University Medical Center and Duke Clinical Research Institute, Durham, NC.
authors.forename: Gerald S
authors.initials: GS
authors.lastname: Bloomfield
authors.affiliation: Duke University Medical Center and Duke Clinical Research Institute, Durham, NC.
authors.forename: Tracy Y
authors.initials: TY
authors.lastname: Wang
authors.affiliation: Duke University Medical Center and Duke Clinical Research Institute, Durham, NC.
authors.forename: L Ebony
authors.initials: LE
authors.lastname: Boulware
authors.affiliation: Duke University Medical Center and Duke Clinical Research Institute, Durham, NC.
authors.forename: Robert M
authors.initials: RM
authors.lastname: Califf
authors.affiliation: Duke University Medical Center and Duke Clinical Research Institute, Durham, NC.
authors.forename: Adrian F
authors.initials: AF
authors.lastname: Hernandez
authors.affiliation: Duke University Medical Center and Duke Clinical Research Institute, Durham, NC.
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Velazquez
authors.affiliation: Duke University Medical Center and Duke Clinical Research Institute, Durham, NC.
authors.forename: Eric D
authors.initials: ED
authors.lastname: Peterson
authors.affiliation: Duke University Medical Center and Duke Clinical Research Institute, Durham, NC. Electronic address: jennifer.li@duke.edu.
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Li
mesh_terms: D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000517:prevention & control*; D002908:Chronic Disease; D016000:Cluster Analysis; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000517:prevention & control*; D057286:Electronic Health Records / Q000706:statistics & numerical data; D014943:Global Health; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000517:prevention & control*; D007630:Kenya / Q000453:epidemiology; D009657:North Carolina / Q000453:epidemiology; D018570:Risk Assessment; D017216:Telemedicine