Michael Mueller|Tanjala S. Purnell|George A. Mensah|Lisa A. Cooper
Reducing Racial and Ethnic Disparities in Hypertension Prevention and Control: What Will It Take to Translate Research into Practice and Policy?
Johns Hopkins University|Johns Hopkins Medicine|National Heart Lung and Blood Institute|Johns Hopkins University|Johns Hopkins Medicine
despite available effective therapies racial ethnic disparities care outcomes hypertension persist several interventions tested reduce disparities however translation practice policy hampered knowledge gaps limited collaboration among stakeholders characterized factors influencing disparities blood pressure bp control levels ecological model conducted literature search using pubmed scopus cinahl databases identify interventions targeted toward reducing disparities bp control categorized levels model primarily targeted summarized evidence regarding effectiveness identified 39 interventions several state national policy initiatives targeted toward reducing racial ethnic disparities bp control 5 ongoing patient populations majority africanamerican completed interventions 27 demonstrated improvement bp control related process measures 7 6 studies examining disparities 3 reduced 2 increased 1 effect disparities several effective interventions exist improve bp racial ethnic minorities however evidence reduce disparities limited many groups understudied strengthen evidence translate practice policy recommend rigorous evaluation pragmatic sustainable multilevel interventions institutional support training implementation researchers creating broad partnerships among payers patients providers researchers policymakers communitybased organizations balance alignment priorities incentives stakeholder group