ReviewLancet regional health. Americas2026
A HEARTS-based integrated model for noncommunicable disease control in primary health care in Peru.
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 1 paper.
What it found
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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.
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Who cites it
1 citing paper in PubMed.
- [Compliance with drivers of the HEARTS-based integrated model for noncommunicable disease control in PeruNível de implementação dos fatores impulsionadores do modelo integrado para doenças não transmissíveis da iniciativa HEARTS no Peru].Revista panamericana de salud publica = Pan American journal of public health · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Peru has developed and initiated the scale-up of a HEARTS-based, integrated, person-centered primary health care system to support people living with hypertension, type 2 diabetes mellitus, and chronic kidney disease. The model combines standardized clinical pathways with validated drivers, as well as maturity and performance indexes to promote evidence-based practice and continuous quality improvement across diverse primary care settings. National implementation started in 2024 through a structured capacity-building strategy and the deployment of regional facilitators to support supervision, data quality, and clinical mentoring. Early evaluation indicates progress in clinical standardization and performance monitoring, alongside persistent system-level challenges, including limited clinical training, shortages of essential medicines and diagnostics, and the absence of a unified digital registry. Despite these constraints, Peru's experience shows that integrated, protocol-driven care for noncommunicable diseases can be implemented and scaled in resource-constrained health systems, offering a pragmatic framework for other low- and middle-income countries seeking to address multimorbidity.
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