TY - JOUR
AU - L. Sperling
AU - V. Irazola
AU - J. Partarrieu
AU - L. Raspail
AU - M. Banach
AU - A. Banerjee
AU - G. Bukhman
AU - M. George
AU - Toda Kato
AU - F. Lopez-Jimenez
AU - S. Macari
AU - J. Miranda
AU - A. Mocumbi
AU - P. Perel
AU - D. Prabhakaran
AU - Puente Barragan
AU - D. Sherifali
AU - R. Santos
A1 - 
AB - Cardiovascular disease (CVD) commonly coexists with multiple long-term conditions (MLTC), including diabetes, chronic kidney disease, obesity, and mental health disorders. This clustering creates a syndemic burden associated with poorer outcomes, polypharmacy, high treatment burden, and rising healthcare costs. Fragmented, single-disease care models are ill-suited to address this complexity. The WHF roadmap for integrated care in people living with - or at risk of - CVD and MLTC provides a structured framework to support the design, implementation, and scale-up of person-centred, coordinated care models globally. Drawing on current evidence, expert consensus, case studies, and stakeholder surveys, the Roadmap outlines the epidemiological and systemic challenges of MLTC and identifies practical strategies adaptable across high-, middle-, and low-income settings. This Roadmap emphasises multidisciplinary teamwork, aligned financing, digital health infrastructure, workforce development, patient partnership, and robust monitoring and evaluation. By shifting from siloed care to integrated, capacity-sensitive approaches, health systems can improve clinical outcomes, enhance quality of life, reduce avoidable hospitalisations, and build resilience in the face of growing multimorbidity.
AD - Emory School of Medicine, Emory Clinic, Atlanta, USA.; Institute for Clinical Effectiveness and Health Policy, Buenos Aires (IECS), Argentina.; Independent Consultant, France.; WHF, Switzerland.; Medical University in Lodz (MUL), Lodz, Poland.; University College London, UCL Hospitals NHS Trust and Barts Health NHS Trust, UK.; Harvard University, USA.; INOCA International, UK.; Kyoto University Hospital, Japan.; Mayo Clinic, USA.; Avec France, France.; University of Sydney, Australia.; Mozambique Institute for Health Education and Research, Mozambique.; McMaster University, Canada.; National Medical Center "20 de Noviembre" ISSSTE, Mexico.; Heart Institute (InCor)/University of São Paulo (USP) Medical School, Brazil.
AN - 41908167
BT - Glob Heart
C5 - Healthcare Disparities
CP - 1
DO - 10.5334/gh.1541
DP - NLM
ET - 20260327
IS - 1
JF - Glob Heart
LA - eng
N2 - Cardiovascular disease (CVD) commonly coexists with multiple long-term conditions (MLTC), including diabetes, chronic kidney disease, obesity, and mental health disorders. This clustering creates a syndemic burden associated with poorer outcomes, polypharmacy, high treatment burden, and rising healthcare costs. Fragmented, single-disease care models are ill-suited to address this complexity. The WHF roadmap for integrated care in people living with - or at risk of - CVD and MLTC provides a structured framework to support the design, implementation, and scale-up of person-centred, coordinated care models globally. Drawing on current evidence, expert consensus, case studies, and stakeholder surveys, the Roadmap outlines the epidemiological and systemic challenges of MLTC and identifies practical strategies adaptable across high-, middle-, and low-income settings. This Roadmap emphasises multidisciplinary teamwork, aligned financing, digital health infrastructure, workforce development, patient partnership, and robust monitoring and evaluation. By shifting from siloed care to integrated, capacity-sensitive approaches, health systems can improve clinical outcomes, enhance quality of life, reduce avoidable hospitalisations, and build resilience in the face of growing multimorbidity.
PY - 2026
SN - 2211-8160 (Print); 2211-8160
SP - 28
ST - WHF Roadmap for Integrated Care in People Living with - or at Risk of - Cardiovascular Disease and Multiple Long-Term Conditions
T1 - WHF Roadmap for Integrated Care in People Living with - or at Risk of - Cardiovascular Disease and Multiple Long-Term Conditions
T2 - Glob Heart
TI - WHF Roadmap for Integrated Care in People Living with - or at Risk of - Cardiovascular Disease and Multiple Long-Term Conditions
U1 - Healthcare Disparities
U3 - 10.5334/gh.1541
VL - 21
VO - 2211-8160 (Print); 2211-8160
Y1 - 2026
ER -