作者: Gordon F. Tomaselli , Mary-Beth Harty , Katie Horton , Mark Schoeberl
DOI: 10.1161/CIR.0B013E3182327084
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摘要: Building healthier lives, free of cardiovascular diseases and stroke” is the mission that unites volunteers staff American Heart Association (AHA). When AHA established its 2020 Health Impact Goal, “to improve health all Americans by 20% while reducing deaths from stroke 20%,”1 it recognized to reach this goal would need focus even more time, attention, resources on improving through a diverse range prevention strategies. Passage 2010 Patient Protection Affordable Care Act (ACA)2 has provided community with multiple opportunities elevate importance clinical- population-based thereby reduce morbidity mortality disease (CVD) addressing in fundamental way these enormous drivers healthcare costs. Although resulting legislation remains politically divisive, number key provisions ACA have potential transform current delivery system preponderance for “sick care” one better incorporates, coordinates, values, financially rewards quality prevention. Many are found Title IV: Prevention Chronic Disease Improving Public Health, leading Assistant Secretary Howard Koh US Department Human Services (HHS) Kathleen Sebelius observe moving toward mainstream may well be most lasting legacies landmark legislation.2 The question whether we can seize moment fully leverage affect CVD. One reason optimistic about transformation HHS ' recently announced Million Hearts Initiative (Million Hearts). This new initiative will focus, coordinate, enhance CVD …