{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T16:58:35Z","timestamp":1790614715675,"version":"4.1.0"},"reference-count":16,"publisher":"Pan American Health Organization","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,23]]},"abstract":"<title>RESUMEN<\/title>\n                  <sec>\n                    <title>Objetivo.<\/title>\n                    <p>Analizar el estado de implementaci\u00f3n de la iniciativa HEARTS en la red de atenci\u00f3n primaria de salud de Chile a partir de los resultados de la autoevaluaci\u00f3n de calidad en los dominios de fidelidad, factibilidad, aceptabilidad y efectividad.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>M\u00e9todos.<\/title>\n                    <p>Estudio descriptivo de corte transversal basado en el autorreporte de calidad aplicado entre julio y diciembre de 2025 a equipos de atenci\u00f3n primaria que implementaban HEARTS. De los 544 centros de atenci\u00f3n primaria (CAP) que notificaban una implementaci\u00f3n activa, 511 (93,9%) completaron la autoevaluaci\u00f3n; respecto del universo nacional de 602 CAP, la cobertura fue de 84,9%. Participaron 6 233 funcionarios. La base de datos se cerr\u00f3 y valid\u00f3 el 31 de marzo de 2026 despu\u00e9s de la revisi\u00f3n de completitud, consistencia y consolidaci\u00f3n de los reportes disponibles en la plataforma DHIS2 HEARTS. Se evaluaron los dominios de fidelidad, factibilidad, aceptabilidad y efectividad.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Resultados.<\/title>\n                    <p>El dominio de fidelidad alcanz\u00f3 un \u00edndice de madurez de 15,01\/21, correspondiente al nivel 4. Se identificaron brechas en la intensificaci\u00f3n del tratamiento por profesionales no m\u00e9dicos (13,2%, nivel 1) y en la continuidad de la atenci\u00f3n de personas con alto riesgo cardiovascular (59,1%, nivel 3). La factibilidad alcanz\u00f3 93,0% y la aceptabilidad 93,5%. La menor aceptabilidad correspondi\u00f3 a la intensificaci\u00f3n farmacol\u00f3gica por enfermer\u00eda bajo supervisi\u00f3n y protocolo (65%). El \u00edndice de desempe\u00f1o alcanz\u00f3 1,0\/4,0 puntos, correspondiente a la categor\u00eda incipiente.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Conclusiones.<\/title>\n                    <p>La implementaci\u00f3n muestra avances en los procesos, aunque los resultados de cobertura y control permanecen rezagados. Los hallazgos respaldan la necesidad de fortalecer la calidad del registro, el seguimiento longitudinal, la redistribuci\u00f3n protocolizada de tareas dentro del marco normativo vigente y la asistencia t\u00e9cnica diferenciada en los territorios con menor madurez.<\/p>\n                  <\/sec>","DOI":"10.26633\/rpsp.2026.94","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:25:53Z","timestamp":1790173553000},"page":"1","source":"Crossref","is-referenced-by-count":1,"title":["HEARTS en Chile: autoevaluaci\u00f3n de calidad del programa de hipertensi\u00f3n en atenci\u00f3n primaria, 2025"],"prefix":"10.26633","volume":"50","author":[{"given":"Carolina","family":"Neira","sequence":"first","affiliation":[{"name":"Ministerio de Salud, Santiago de Chile, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Ministerio de Salud, Santiago de Chile, Chile."},{"name":"carlahm@gmail.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ximena","family":"Neculhueque","sequence":"additional","affiliation":[{"name":"Ministerio de Salud, Santiago de Chile, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcela","family":"Rivera","sequence":"additional","affiliation":[{"name":"Ministerio de Salud, Santiago de Chile, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11167","reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Londo\u00f1o E, Gupta R, Van der Stuyft P, Heine M, Giraldo G, Ku GM, et al. HEARTS Calidad: Marco de pol\u00edticas para fortalecer el manejo de la hipertensi\u00f3n arterial y del riesgo cardiovascular en la atenci\u00f3n primaria de salud. Perspectivas desde HEARTS en las Am\u00e9ricas. Rev Panam Salud Publica. 2026;50:e24. doi: https:\/\/doi.org\/10.26633\/RPSP.2026.24","DOI":"10.26633\/RPSP.2026.24"},{"key":"ref2","unstructured":"Ministerio de Salud de Chile. Encuesta Nacional de Salud 2016-2017: primeros resultados. Santiago: MINSAL; 2017."},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Ordunez P, Campbell NRC, DiPette DJ, Jaffe MG, Rosende A, Mart\u00ednez R, et al. HEARTS en las Am\u00e9ricas: impulsar el cambio en el sistema de salud para mejorar el control de la hipertensi\u00f3n en la poblaci\u00f3n. Rev Panam Salud Publica. 2024;48:e17. doi: https:\/\/doi.org\/10.26633\/RPSP.2024.17","DOI":"10.26633\/RPSP.2024.17"},{"key":"ref4","unstructured":"Organizaci\u00f3n Panamericana de la Salud. 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