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Dr. Mark Jaffe, with 25 years of experience treating hypertension at Kaiser Permanente, highlights the shift from hypertension guidelines to simple treatment protocols. His approach significantly improved blood pressure control rates from 44% to 90%. He advocates for protocols that specify particular drugs and dosages, emphasizing a straightforward, one-step-at-a-time method. An example from Punjab, India, demonstrates an effective protocol using just three drugs. Jaffe notes that simple protocols enhance blood pressure management by being easy to train healthcare workers, reducing medical errors, and enabling pharmacies to better forecast drug needs, ultimately lowering costs by consolidating medications. Each country or health system should adopt an appropriate protocol.
