Las enfermedades cardiovasculares, gestión de Sistemas Subnacionales de Salud y recomendaciones para plan de acción

the subnational health systems in the intermediate and local population-spaces were defined; among them, the municipal or community ones have restricted level of competence and decision-making capacities. the subnational space (states or provinces) is a fundamental structure of health management for the prevention and care of cardiovascular problems. the high cost of disease, death and expenses from cardiovascular diseases requires sound health response. to this end, five recommendations were suggested to strengthen the managing teams of the subnational systems for medical care and prevention of cardiovascular diseases: 1. assured coverage and universal equal access to programs and services by the population; 2. organization of the network for caring of cardiovascular diseases; 3. generation and management of intersectoral intervention strategies; 4. continuing education of human resources and 5. monitoring of cardiovascular diseases progression and their determinants to detect opportunely negative tendencies, care requirements, divisions among several population groups and gaps between the supply and the demand.