In February 2010, the Institute of Medicine (IOM) published a report titled, A Population-Based Policy and Systems Change
Approach to Prevent and Control Hypertension. The IOM found that high blood pressure is a "neglected disease" because the
impact of high blood pressure on public health is well known, the costs are well known, and the interventions to prevent,
control, and treat it, are safe and effective, yet high blood pressure continues to account for 1 in 6 deaths in the U.S.
The IOM identified some factors in the health care system that contribute to the problem. These included lack of physician
adherence to blood pressure treatment guidelines and cost barriers for patients who need to take high blood pressure medication.
Healthy Living Through Environment, Policy and Improved Clinical Care (EPICC), Bureau of Health Promotion, Division of Disease Control and Prevention, Utah Department of Health, Salt Lake City, UT 84114-2107,
Contact: Nicole Bissonette, 801-538-6228, Email: firstname.lastname@example.org or MaryCatherine Jones, 801-538-6522, Email: email@example.com
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