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Closing the Gap: Digital Innovations to Address Hypertension Disparities.

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Remote blood pressure monitoring (RBPM) with telehealth can reduce hypertension disparities. Integrating accessible technology and diverse care teams is key to improving outcomes for all patients.

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Area of Science:

  • Cardiovascular Health
  • Health Equity
  • Digital Health

Background:

  • Hypertension control remains inequitable, disproportionately affecting minoritized populations with severe health consequences.
  • Remote blood pressure monitoring (RBPM) combined with telehealth shows promise for hypertension management.
  • Challenges in technology adoption, patient engagement, and social determinants of health (SDoH) hinder equitable outcomes.

Purpose of the Study:

  • To review the evidence for RBPM in advancing health equity for blood pressure control.
  • To identify strategies for large-scale implementation of RBPM.

Main Methods:

  • Review of existing studies on RBPM programs.
  • Analysis of RBPM components addressing health disparities.
  • Examination of implementation challenges and facilitators.

Main Results:

  • RBPM programs can address disparities using cellular-enabled devices, promoting home monitoring for patient empowerment, standardized algorithms, and SDoH integration.
  • Multidisciplinary teams (nurses, pharmacists, community health workers) are crucial for effective RBPM.
  • Current limitations include incomplete adoption of RBPM components and inadequate payment models for digital health and diverse care teams.

Conclusions:

  • RBPM programs must integrate accessible digital technology and multidisciplinary care teams.
  • Addressing both medical and social needs is essential for populations facing health inequities.