2018年から2022年までのメディケイド登録者間で,自己測定血圧サービスとデバイスの使用が増加した
Nathan Pauly1, Jared Augenstein2, Janet Williams3
1Manatt Health Strategies, Chicago, IL 60606, United States.
Health affairs scholar
|August 22, 2025
まとめ
自己測定血圧 (SMBP) のモニタリングは高血圧を効果的に低下させる. 流行の間,SMBPの使用は急増したが,州レベルでの有意な変動とともに,流行前のレベルより高いままである.
科学分野:
- 公衆衛生
- 医療サービス研究
- 心血管疾患の管理
背景:
- 自己測定血圧 (SMBP) のモニタリングは,臨床サポートと組み合わせた場合,高血圧患者の血圧を下げるための実証された戦略です.
- SMBPは患者の健康状態の管理に力を入れることで 保健の公平性へのポジティブな影響を示しています
研究 の 目的:
- 自己測定血圧 (SMBP) のサービスとデバイスの利用における国家および州レベルの傾向を分析する.
- 2018年から2022年までのメディケイド登録者におけるSMBPの使用を調査する.
主な方法:
- 全国のメディケイド請求データを分析した.
- 国家レベルと州レベルの両方でSMBP使用の傾向を調べた.
- 2018年から2022年までの期間に焦点を当てた.
主要な成果:
- COVID-19 パンデミックの間,SMBPの使用が著しく増加しました.
- 流行後のSMBP使用率は減少したが,流行前のレベルと比較して高いままである.
- 各州間の SMBP の利用に相当な違いがあることが判明した.
結論:
- 大人のメディケイド登録者におけるSMBPの使用は,特にパンデミックの影響で,ダイナミックな変化を示した.
- SMBPの利用における州レベルの格差は,さらなる調査を正当化します.
- これらの状態の変動の背後にある要因を理解することは 公平な血圧管理を促進する将来の介入に不可欠です
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