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A coordinated PCP-Cardiologist Telemedicine Model (PCTM) in China's community hypertension care: study protocol for a

Lei Xu1, Wei-Yi Fang2, Fu Zhu3

  • 1Department of Cardiology, Shanghai Chest Hospital, Shanghai JiaoTong University, Shanghai, China.

Trials
|May 27, 2017
PubMed

Insights

This study evaluated a telemedicine model for hypertension control in China. The coordinated primary care physician-cardiologist approach improved blood pressure management, offering a scalable solution for community healthcare.

Area of Science:

  • Cardiology
  • Public Health
  • Health Informatics

Background:

  • Hypertension is a significant cardiovascular disease risk factor with low global control rates.
  • Telemonitoring blood pressure (BP) has shown promise in randomized controlled trials.
  • The effectiveness of telemonitoring within a structured primary care model involving PCP-cardiologist collaboration is less understood.

Purpose of the Study:

  • To evaluate a coordinated primary care physician (PCP)-cardiologist model using telemedicine for community hypertension control in China.
  • To assess the impact of integrated electronic health data sharing and medical interventions on hypertension management.
  • To determine if this model improves hypertension care compared to usual care or telemonitoring alone.

Main Methods:

  • A randomized controlled trial involving patients with uncontrolled hypertension across four community healthcare centers.
  • Intervention groups included usual care, home-based BP telemonitoring with digital health tools, and telemonitoring plus coordinated PCP-cardiologist care via a secure online platform.
  • The primary outcome was the mean change in systolic blood pressure over 12 months, with secondary outcomes including diastolic BP, HbA1C, blood lipids, and medication adherence.

Main Results:

  • The study is designed to determine the effectiveness of the coordinated PCP-Cardiologist Telemedicine Model.
  • It will assess improvements in systolic and diastolic blood pressure, HbA1C, blood lipids, and medication adherence.
  • The results will indicate whether the integrated telemedicine approach leads to better hypertension control.

Conclusions:

  • The coordinated PCP-Cardiologist Telemedicine Model, utilizing advanced telemedicine technologies, is expected to enhance hypertension care.
  • Successful implementation could streamline community healthcare processes.
  • This model has the potential to significantly impact a larger patient population with uncontrolled hypertension.
Abstract

Keywords:
HypertensionMedication adherencePrimary careRandomized controlled trialTelemedicine

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