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Adopting Telemedicine for the Self-Management of Hypertension: Systematic Review

Michael Mileski1, Clemens Scott Kruse1, Justin Catalani1

  • 1School of Health Administration, Texas State University, San Marcos, TX, United States.

JMIR Medical Informatics
|October 26, 2017
PubMed

Insights

Telemedicine can improve hypertension management by increasing access and convenience, but challenges like limited evidence and maintenance difficulties need addressing for successful implementation. This review explores facilitators and barriers to telemedicine for hypertension self-management.

Area of Science:

  • Cardiovascular Health
  • Health Informatics
  • Telehealth Research

Background:

  • Hypertension affects 1 in 3 US adults, with suboptimal control costing billions annually.
  • Effective hypertension management requires simpler, accessible strategies.
  • Current treatment costs and missed workdays highlight the need for improved self-management solutions.

Purpose of the Study:

  • To review facilitators and barriers to implementing telemedicine for hypertension self-management.
  • To assess the potential benefits of telemedicine in managing chronic conditions.
  • To guide healthcare professionals in adopting telemedicine practices.

Main Methods:

  • Systematic literature searches were conducted in CINAHL Complete and PubMed.
  • The search focused on collecting information regarding hypertension self-management via telemedicine.
  • Databases used were EBSCOhost and MEDLINE.

Main Results:

  • Key facilitators include improved access, enhanced quality of care, increased patient engagement, advancements in remote monitoring technology, cost-effectiveness, and convenience.
  • Significant barriers involve a lack of robust evidence, challenges in maintaining self-management, insufficient long-term data, and the potential for increased workload.
  • Facilitators and barriers were identified for telemedicine implementation in hypertension self-management.

Conclusions:

  • Understanding facilitators and barriers is crucial for successful telemedicine implementation in hypertension self-management.
  • This review provides guidance for healthcare professionals on integrating telemedicine into practice.
  • Identifying optimal methods for introducing telemedicine is essential for improving patient outcomes.
Abstract

Keywords:
disease managementeHealthhypertensionmHealthtelemedicine

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