Effects of technology-enabled blood pressure monitoring in primary care: A quasi-experimental trial
نویسندگان
چکیده
Introduction Technology to enhance hypertension management is increasingly used in primary care; however, it has not been evaluated an Asian care setting. We aimed understand the clinical impact and cost-effectiveness of a technology-enabled home blood pressure monitor when deployed care, patients’ perspectives about technology. Methods A quasi-experimental cohort study was conducted polyclinic Singapore. In total, 120 patients with were assigned telemonitoring intervention group. Patients received device connected team's dashboard through mobile gateway. Tele-consultations nurse-led tele-support carried out using established protocols. control group continued receive usual polyclinic. Clinical outcomes, cost-effectiveness, patient satisfaction measured 6 months after recruitment. Results 217 completed follow-up. Telemonitoring had significantly increased odds having controlled by factor 2.69 ( p = 0.01), greatest improvement those whose uncontrolled at baseline < 0.05). The incremental ratios for all S$23,935.14/quality-adjusted life year (<1 gross domestic product per capita), which very cost-effective based on World Health Organization thresholds. There greater relating convenience recording sharing measurements health team, consultation advice received, understanding team their condition, more motivated pressure. Discussion tele-consultation improved than care. receiving also satisfied
منابع مشابه
Thirty-Minute Office Blood Pressure Monitoring in Primary Care.
PURPOSE Automated office blood pressure monitoring during 30 minutes (OBP30) may reduce overtreatment of patients with white-coat hypertension in primary health care. OBP30 results approximate those of ambulatory blood pressure monitoring, but OBP30 is much more convenient. In this study, we compared OBP30 with routine office blood pressure (OBP) readings for different indications in primary ca...
متن کامل24-Hour ambulatory blood pressure monitoring in primary care.
BACKGROUND Both the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of Hypertension in Adults and the British Hypertension Society have made recommendations for the use of ambulatory blood pressure monitoring (ABPM) in select patient populations. This demonstration project explores the feasibility of a 24-hour ABPM service in assisting physicians with decisions rega...
متن کاملA primary care pragmatic cluster randomized trial of the use of home blood pressure monitoring on blood pressure levels in hypertensive patients with above target blood pressure.
BACKGROUND The measurement of blood pressure (BP) at home by patients with hypertension is increasingly used to assess and monitor BP. Evidence for its effectiveness in improving BP control is mixed. METHODS To determine if home BP monitoring improves BP a pragmatic cluster randomized contolled trial was carried out in family practices in southeastern Ontario, Canada. Family practice patients...
متن کاملMeasurement of blood pressure in primary care.
The value of measuring blood pressure in the clinic is debatable, especially when it is done by doctors. Inherent variability means that true changes in blood pressure can be difficult to detect using clinic readings. Furthermore, misclassification on the basis of clinic readings can occur in people with “normal” underlying blood pressure who are labelled as hypertensive because of the pressor ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Journal of Telemedicine and Telecare
سال: 2021
ISSN: ['1758-1109', '1357-633X']
DOI: https://doi.org/10.1177/1357633x211031780