Strategies to Strengthen Health Systems for Cardiovascular Care: A Scoping Review from the Integrated Health Services Delivery Networks
e202611094
DOI:
https://doi.org/10.67113/resp.v100i1.1653Keywords:
Cardiovascular diseases, Health Systems, Primary Health care, Health Policy, Delivery of Health Care, IntegratedAbstract
BACKGROUND // Integrated Health Services Delivery Networks (IHSDNs) aim to strengthen the performance and resilience of health systems; however, evidence regarding their implementation in cardiovascular care remains limited. This scoping review aimed to map the strategies implemented or recommended worldwide to improve health system responses for people with cardiovascular diseases.
METHODS // A scoping review was conducted following the Joanna Briggs Institute methodology and the PRISMA-ScR guideline. Searches were performed in MEDLINE, CINAHL, IRIS-PAHO, LILACS, and Web of Science to identify original articles, reviews, case studies, and institutional reports published between 2018 and 2025. The Population, Concept, and Context (PCC) framework was used, considering people with cardiovascular diseases, implemented or recommended strategies, and health systems worldwide. The search strategy combined MeSH and DeCS terms using Boolean operators. Two reviewers independently screened and selected the studies. Evidence was synthesized through descriptive analysis and thematic categorization according to the domains of the IHSNs.
RESULTS // Thirty studies conducted in countries across the Americas (n=15), Asia (n=7), Africa (n=5), Europe (n=2), and Oceania (n=1) were included. The identified strategies were classified into five domains: governance (n=11); technology (n=8); organization and management (n=5); models of care (n=5) and financing (n=1). The main strategies included strengthening Primary Health care, intersectoral coordination, implementation of digital technologies, and the use of cost-effective interventions to improve access to and continuity of cardiovascular care.
CONCLUSIONS // The synthesized evidence suggests that strengthening cardiovascular care requires integrated strategies centered on Primary Health care and aligned with IHSNs. The findings highlight the importance of combining governance, organization and management, digital innovation, and financing to strengthen health system responses to cardiovascular diseases.
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