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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Hypertension, society, and public policy

Heinz Redwood

Pharma and Health Policy Consultant, 5 Links Avenue, Felixstowe, Suffolk IP11 9HD, UK

Corresponding author. Tel: +44 1394 28 48 00; fax +44 1394 27 91 92. E-mail address: heinz.redwood{at}ukonline.co.uk

There is plentiful evidence of the threat to public health of uncontrolled hypertension, and ample professional knowledge of how to prevent the condition. Yet failure to achieve adequate prevention in practice is widely acknowledged across Europe and North America. The lack of success of well-intentioned public policy initiatives in the past is linked with problems of changing lifestyles, improving patients' adherence, doctor-patient communications, inadequate public sector budgets for prevention as distinct from treatment, and reliance on top-down programmes instead of involving patients or their organizations directly. Current promising methods of tackling these problems are described.

Key Words: Prevention • Treatment • Lifestyle • Medication • Adherence • Communication • Patients organizations • Financial incentives


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