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Assessing the long-term outcomes of telemedicine consultations in managing hypertension: A prospective study
Bichu Kuriyan Joy1, Shoraf Pascal2, Deepika Gnanasekaran3
1Department of Emergency Medicine, Specialist's Hospital, Ernakulam, Kerala, India.
Insights
Telemedicine consultations significantly improved long-term blood pressure control and medication adherence in hypertensive patients compared to usual care. Patients reported higher satisfaction with telemedicine, highlighting its effectiveness for hypertension management.
Area of Science:
- Cardiology
- Health Informatics
- Public Health
Background:
- Hypertension is a major global health issue, increasing cardiovascular risks.
- Effective long-term management strategies are crucial for reducing hypertension-related morbidity and mortality.
Purpose of the Study:
- To evaluate the one-year impact of telemedicine consultations on blood pressure control.
- To compare medication adherence and patient satisfaction between telemedicine and face-to-face care for hypertension.
Main Methods:
- A comparative study design was employed.
- One group received telemedicine consultations, while the control group received usual face-to-face care.
- Outcomes assessed included blood pressure control, medication adherence, and patient satisfaction over one year.
Main Results:
- The telemedicine group demonstrated significantly better blood pressure control.
- Medication adherence was notably higher in the telemedicine group (p = 0.002).
- Patient satisfaction was significantly greater in the telemedicine group (p < 0.0001).
Conclusions:
- Telemedicine is a potentially effective strategy for the long-term management of hypertension.
- Frequent patient-provider interactions via telemedicine may drive improvements in hypertension management.
- Telemedicine offers a promising alternative or supplement to traditional care models for chronic disease management.
Abstract:
Hypertension is a leading global health concern, contributing significantly to cardiovascular morbidity and mortality. Therefore, it is of interest to assess the long-term effects of telemedicine consultations on blood pressure control, medication adherence and patient satisfaction over one year, comparing it with usual face-to-face care. Results showed that the telemedicine group had significantly better blood pressure control, higher medication adherence (p = 0.002) and greater satisfaction (p < 0.0001) than the control group. Frequent interactions through telemedicine likely facilitated these improvements. Telemedicine demonstrates potential as an effective strategy for managing hypertension in the long term.
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