Abstract
The Canadian Hypertension Education Program (CHEP) started an ambitious dissemination and implementation program (DI sustainable, credible, using the appropriate language, and realistic and applicable. Each barrier is specific and should be addressed individually. A barrier can be, for example, related to access to professional services, diagnostic procedures, specific therapeutic procedures or different provincial/local regulations. Some barriers may be local or systemic (for example salt/sodium added in processed food) or absence of structured care in the management of chronic diseases. In our experience, critical success factors for guidelines implementation are: a strong methodology for the development of high quality recommendations, an annual review of the scientific literature, and endorsement and participation of leading experts and key opinion leaders. Items listed on Table 1 can probably explain CHEP’s success.
Highlights
The Canadian Hypertension Education Program (CHEP) started an ambitious dissemination and implementation program (D&I) in 1999 [1]
Recent data show that control of hypertension in Canada has recently improved dramatically from 13% in 1992 [2] to 66% in 2008 [3,4,5]
Dissemination has been achieved through a passive-toactive dissemination process by publishing in multiple formats - peer-reviewed and non peer-reviewed - with content tailored to end users, including patients and their families
Summary
The Canadian Hypertension Education Program (CHEP) started an ambitious dissemination and implementation program (D&I) in 1999 [1]. Recent data show that control of hypertension in Canada has recently improved dramatically from 13% in 1992 [2] to 66% in 2008 [3,4,5]. Improved hypertension control from survey data is supported by and consistent with the data of declining Canadian standardized yearly mortality and hospitalization rates for the complications of hypertension - stroke, heart failure and acute myocardial infarction [5,6].
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