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Computer assisted shared care in hypertension.

J C Petrie, O J Robb, J Webster

    British Medical Journal (Clinical Research Ed.)
    |June 29, 1985
    PubMed
    Summary
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    A computer-assisted shared care program improves hypertension management. This system facilitates doctor communication and targets high-risk patients for better cardiovascular event prevention.

    Area of Science:

    • Cardiology
    • Health Informatics
    • Public Health

    Background:

    • Hypertension management requires effective long-term follow-up.
    • Facilitating information exchange between healthcare providers is crucial.
    • Optimizing specialist resource allocation is essential for high-risk patient care.

    Purpose of the Study:

    • To develop and evaluate a computer-assisted shared care scheme for hypertensive patients.
    • To improve the management and follow-up of patients with hypertension.
    • To facilitate clinical information exchange and achieve blood pressure targets in high-risk individuals.

    Main Methods:

    • Development of a computer-assisted shared care scheme.
    • Implementation in the Grampian Region for long-term management of hypertensive patients.

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  • Stratification of patients into risk grades for rationalized follow-up.
  • Main Results:

    • The shared care scheme was well-received by local practitioners.
    • 18% of patients were assigned to the hospital aspect of the scheme.
    • 32% of hospital-based patients and 10% of general practice-based patients exceeded target blood pressure levels (160/95 mm Hg).

    Conclusions:

    • Computer-assisted shared care effectively rationalizes follow-up procedures.
    • Specialist resources can be concentrated on the highest-risk patients.
    • The system has potential applications for other chronic disease management, such as diabetes mellitus.