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Published on: September 26, 2018
New aspects in the management of hypertension in the digital era
Richard V Milani1,2, Carl J Lavie2, Hector O Ventura2
1Center for Healthcare Innovation.
Insights
Digital medicine programs significantly improve hypertension management and blood pressure control compared to traditional care. This approach offers convenience and high patient acceptance, leading to better health outcomes.
Area of Science:
- Cardiology
- Digital Health
- Public Health
Background:
- Hypertension (HTN) affects over half of US adults, yet current office-based care achieves suboptimal blood pressure (BP) control in more than half of patients.
- Poor BP control contributes to significant rates of preventable cardiovascular events and mortality.
- The limitations of traditional care models necessitate innovative approaches to hypertension management.
Purpose of the Study:
- To evaluate the effectiveness of a reengineered care delivery model for hypertension management.
- To assess the impact of a fully digital platform combined with team-based care on BP control rates.
- To determine patient acceptance and diagnostic capabilities of digital health interventions for HTN.
Main Methods:
- Implementation of a digital medicine program within a clinical care setting.
- Utilizing a team-based approach for comprehensive HTN management.
- Leveraging digital platforms for patient monitoring and intervention.
Main Results:
- Digital medicine programs demonstrate superior blood pressure control rates compared to traditional office-based care.
- High levels of patient acceptance were observed with the digital approach.
- The digital platform facilitated better diagnosis and treatment of masked and white coat hypertension.
Conclusions:
- Digital medicine offers an effective and convenient mechanism for delivering hypertension management.
- This innovative approach outperforms traditional office-based care in achieving BP control.
- Digital health interventions are well-accepted by patients and improve hypertension care delivery.
Purpose Of Review:
Hypertension (HTN) is the most common chronic disease impacting over half the US adult population. Our current office-based model of care is failing in its ability to control blood pressure (BP) as only 44% of adult US hypertensives are achieving minimal levels of BP control (< 140/90 mmHg), leading to high rates of preventable cardiovascular events and death.
Recent Findings:
Reengineering care delivery using a fully digital platform combined with a dedicated team-based approach to HTN management has demonstrated superior BP control rates, very high levels patient acceptance, and the ability to better diagnose and treat masked and white coat HTN.
Summary:
A digital medicine program in the clinical care setting can be an effective and convenient mechanism of delivering HTN management, outperforming traditional office-based care, and is well accepted by patients.
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