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Implementing Equitable Hypertension Care Using a Remote Patient Monitoring Program: A Mixed Methods Study.
Amber E Johnson1, Kevin Pearlman2, Ria Sood3
1The University of Chicago Pritzker School of Medicine, Chicago, Illinois, USA; Section of Cardiology, Department of Medicine, Biological Sciences Division, University of Chicago, Chicago, Illinois, USA.
JACC. Advances
|December 5, 2025
Summary
Remote patient monitoring (RPM) improved hypertension care, particularly for highly engaged patients. This highlights opportunities for achieving equitable blood pressure outcomes through effective RPM implementation strategies.
Area of Science:
- Cardiovascular Medicine
- Health Services Research
- Digital Health
Background:
- Remote patient monitoring (RPM) offers a patient-centered approach to hypertension management.
- Successful RPM implementation requires understanding social and institutional factors.
- Equitable hypertension outcomes can be advanced through systems-level strategies.
Purpose of the Study:
- To determine social and institutional factors influencing RPM utilization.
- To assess the relationship between RPM engagement and hypertension control.
- To identify barriers and facilitators for RPM program implementation.
Main Methods:
- Mixed methods design combining quantitative and qualitative data.
- Retrospective analysis of sociodemographic variables and RPM engagement using logistic and Cox regression.
- Qualitative interviews with RPM staff to explore implementation themes using a validated framework.
Main Results:
- 1744 participants analyzed (mean age 63.1, 64.7% female, 82.6% Black).
- Higher RPM engagement associated with older age and greater representation of Black patients.
- High engagement significantly increased likelihood of normotension (OR: 2.06) and shortened time to normotension (HR: 2.52).
Conclusions:
- RPM program effectively improved blood pressure control, especially in highly engaged patients.
- Findings underscore the potential of RPM to enhance hypertension care equity.
- Identified implementation factors can guide future RPM program development.
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