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Practices for cardiovascular disease prevention programs : a guide to effective health care system interventions and community programs linked to clinical services
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    Heart disease is the leading cause of death in men and women in the United States. Together, heart disease, stroke, and other vascular diseases claim over 800,000 lives each year.1,2 An estimated one in every seven US dollars spent

    on health care goes toward cardiovascular disease (CVD), totaling over $300 billion in annual health care costs and lost productivity from premature death each year.3,4 Several modifiable risk factors for CVD are well known, including hypertension, hyperlipidemia, smoking, being overweight, being inactive, and eating an unhealthy diet. Although treatments for hypertension and hyperlipidemia are very effective and relatively inexpensive, most people with these conditions do not have them under control.

    Although individuals can take steps to reduce their own risks of CVD, public health approaches have the potential to reduce risks among entire populations. Changes to policies, practices, and health systems that are designed to lower uncontrolled high blood pressure and cholesterol levels among populations can significantly improve access to health care, quality of care, and patient adherence to treatments.

    The Centers for Disease Control and Prevention’s Division for Heart Disease and Stroke Prevention (DHDSP) is guided by its mission to provide public health leadership to improve cardiovascular health for all, reduce the burden of CVD, and eliminate disparities associated with heart disease and stroke.

    DHDSP supports all 50 states and the District of Columbia to work

    toward achieving this mission, which aligns with the National Center for Chronic Disease Prevention and Health Promotion’s (NCCDPHP’s) approach to preventing chronic disease through four key domains5,6:

    • Domain 1: Epidemiology and Surveillance.

    • Domain 2: Environmental Approaches.

    • Domain 3: Health Care System Interventions.

    • Domain 4: Community Programs Linked to Clinical Services.

    Suggested citation: Centers for Disease Control and Prevention. Best Practices for Cardiovascular Disease Prevention Programs: A Guide to Effective Health Care System Interventions and Community Programs Linked to Clinical Services. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2017.


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