ReviewLancet regional health. Americas2026
Scaling integrated cardiovascular-kidney-metabolic care through primary health care in the Americas: a health policy analysis of HEARTS 2.0 implementation levers and architecture.
Review in Lancet regional health. Americas, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Making primary health care work better: the HEARTS 2.0 opportunity to integrate cardiovascular-kidney-metabolic care.Revista panamericana de salud publica = Pan American journal of public health · 2026Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Unlike previous HEARTS 2.0 publications on candidate interventions, readiness assessment, prioritization, and the clinical pathway, this Health Policy analysis examines the implementation architecture required to scale integrated cardiovascular-kidney-metabolic (CKM) care through primary health care (PHC) in the Americas. Renewed political commitments to PHC, hypertension control, and integrated CKM care, together with advances in medicines and health system innovations, are creating implementation momentum. Yet persistent gaps between evidence, policy commitment, and implementation continue to limit progress. These gaps mainly reflect limitations in organizing health service delivery. This analysis examines the regional landscape for scaling integrated CKM care through a PHC approach, drawing on HEARTS experience in the Americas and positioning HEARTS 2.0 as a practical pathway to accelerate delivery. It identifies key system constraints, proposes a six-lever implementation framework, and outlines an implementation architecture to align actors, strategies, and investments around scalable delivery of existing solutions.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.