Wagner PJ et al, J Am Med Inform Assoc, 2012
Purpose
To examine the impact of a personal health record (PHR) in patients with hypertension measured by changes in biological outcomes, patient empowerment, patient perception of quality of care, and use of medical services.
[ More ]
J.L de la Serna, El Mundo
“No es la primera vez que en este videoblog se habla del concepto de telemedicina. Y no será la última. Estudio tras estudio nos llega la evidencia de lo que dan de sí las nuevas tecnologías de la comunicación.
[ More ]
EurekAlert!
“E-counselling can significantly lower blood pressure, improve lifestyle and enhance quality of life, says Heart and Stroke Foundation researcher Dr. Robert Nolan.
“E-counselling has the potential to strengthen the effects of medical treatment for high blood pressure,” Dr. Nolan told the Canadian Cardiovascular Congress, which is co-hosted by the Heart and Stroke Foundation and the Canadian Cardiovascular Society. “We found that it led to an almost double decrease in the blood pressure levels of participants compared to those who did not receive the e-counselling.”
[ More ]
Krakoff LR. The Journal of Clinical Hypertension, 2011
Effective control of hypertension and the other cardiovascular risk factors has been dependent on primary medical care as provided by family practitioners and internists. The progressive reduction in availability of primary care for adult populations in the United States threatens the likelihood of better control of the risk factors and potential loss of opportunity for prevention of cardiovascular disease. Recent progress has been made in the use of home blood pressure monitoring for improvement in classification of risk for hypertensive patients. Several studies establish the feasibility of home pressure monitoring combined with telemedicine for improving control of hypertension. Some studies have explored the role of self-care for adjustment of medication, as well.
[ More ]
Donald Tex Bryant, KevinMD
“Patients expect excellent care from their physicians. Unfortunately, not all receive such care and most of us realize this. Many who do understand the wide variation in patient care probably believe it is due to the clinical knowledge and attitude of the provider—a very knowledgeable physician or nurse who is passionate about his or her job will deliver the best care.
[ More ]
CMIO
“Researchers found overall moderate effects of three blood pressure control interventions tested on more than 1,500 patients from May 2006 to July 2009, according to study findings published online July 11 in the Archives of Internal Medicine.
[ More ]
Bosworth HB et al, Archives of Internal Medicine, 171(13)
BACKGROUND
To determine which of 3 interventions was most effective in improving blood pressure (BP) control, we performed a 4-arm randomized trial with 18-month follow-up at the primary care clinics at a Veterans Affairs Medical Center.
METHODS
Eligible patients were randomized to either usual care or 1 of 3 telephone-based intervention groups: (1) nurse-administered behavioral management, (2) nurse- and physician-administered medication management, or (3) a combination of both. Of the 1551 eligible patients, 593 individuals were randomized; 48% were African American. The intervention telephone calls were triggered based on home BP values transmitted via telemonitoring devices. Behavioral management involved promotion of health behaviors. Medication management involved adjustment of medications by a study physician and nurse based on hypertension treatment guidelines.
[ More ]
Michael, Mobile Marketing Watch
“In what is proving to be yet another example of how closely intertwined the burgeoning mHealth industry is with Apple’s most popular mobile products, the FDA has now formally given the green light to a company named Withings (a French start-up that designs, develops, and industrializes connected devices), which has pioneered an iOS blood pressure monitor.
The product is now shipping in the US.
[ More ]
Carolyn Bloch, Federal Telemedicine News
“The McKesson Foundation’s “Mobilizing for Health” initiative awarded $1.3 million to six U.S institutions. The funding will be used is to improve the health of underserved populations with chronic diseases through the use of mobile phone technology. The grants up to $250,000 each will support studies on diabetes care and management.
[ More ]
Megan Brooks, Medscape Today
“In a year-long study, a mobile-phone-based remote patient monitoring system helped patients with type 2 diabetes and uncontrolled hypertension get their blood pressure (BP) under control.
[ More ]
AHRQ
“Staff at The Center for Connected Health (a subsidiary of Partners Healthcare, a nonprofit integrated delivery system) provided a specially designed pill bottle system to patients with uncomplicated hypertension that supplied visual and auditory reminders to take their medicine at the appointed time. The system automatically called patients who missed doses or needed a refill, and generated weekly and monthly progress reports on adherence for patients to share with providers.
[ More ]
Robert Rowley, EHR Bloggers
“Medical data that results from anonymized, centralized Electronic Health Record (EHR) information can provide powerful insights into trends and patterns that might otherwise not be apparent at first-glance. Such data might also provide evidence that can drive EHR development efforts.
[ More ]
Green BB et al, J Med Internet Res, 13(1)
BACKGROUND:
Patient-shared electronic health records provide opportunities for care outside of office visits. However, those who might benefit may be unable to or choose not to use these resources, while others might not need them.
OBJECTIVE:
Electronic Communications and Home Blood Pressure Monitoring (e-BP) was a randomized trial that demonstrated that Web-based pharmacist care led to improved blood pressure (BP) control. During recruitment we attempted to contact all patients with hypertension from 10 clinics to determine whether they were eligible and willing to participate. We wanted to know whether particular subgroups, particularly those from vulnerable populations, were less willing to participate or unable to because they lacked computer access.
[ More ]
Salem RM et al, Health Informatics Journal, 16(4)
The Veterans Affairs Hypertension Primary Care Longitudinal Cohort (VAHC) was initiated in 2003 as a pilot study designed to link the VA electronic medical record system with individual genetic data. Between June 2003 and December 2004, 1,527 hypertensive participants were recruited. Protected health information (PHI) was extracted from the regional VA data warehouse. Differences between the clinic and mail recruits suggested that clinic recruitment resulted in an over-sampling of African Americans.
[ More ]
Logan AG et al, Circulation, 122(21_MeetingAbstracts)
Background and Study Hypothesis:
Previously we described an inexpensive fully automated mobile phone-based telemonitoring system that improved blood pressure (BP) control by providing immediate feedback and action messages to patients and summary reports of home BP readings and critical alerts to physicians. In the present study, we tested the hypothesis that this system will improve BP treatment compared to home BP monitoring without teletransmission capability.
[ More ]
Agarwal S, Lau CT. Telemedicine and e-Health, 16(5)
Diabetes and hypertension have become very common perhaps because of increasingly busy lifestyles, unhealthy eating habits, and a highly competitive workplace. The rapid advancement of mobile communication technologies offers innumerable opportunities for the development of software and hardware applications for remote monitoring of such chronic diseases.
[ More ]
Padfield PL. BMC Medicine, 8(1)
Although the assessment of cardiovascular risk in individual patients takes into account a range of risk factors, the diagnosis and management of hypertension (high blood pressure) is largely determined by a single numerical value, albeit that often several readings are taken over time. Given the critical impact of a decision to embark on lifelong drug therapy the importance of ensuring that a blood pressure (BP) record is both accurate and representative is clear. However, there is good evidence that the variability of BP is such that even if measurement is of the highest quality it can be difficult to say with confidence whether a patient is above or below a treatment threshold.
[ More ]
AbuDagga A et al, Telemedicine and e-Health, 16(7)
We searched five databases (PubMed, CINAHL, PsycINFO, EMBASE, and ProQuest) from 1995 to September 2009 to collect evidence on the impact of blood pressure (BP) telemonitoring on BP control and other outcomes in telemonitoring studies targeting patients with hypertension as a primary diagnosis. Fifteen articles met our review criteria. We found that BP telemonitoring resulted in reduction of BP in all but two studies; systolic BP declined by 3.9 to 13.0 mm Hg and diastolic BP declined by 2.0 to 8.0 mm Hg across these studies. These magnitudes of effect are comparable to those observed in efficacy trials of some antihypertensive drugs.
[ More ]
Pamela Lewis Dolan, amednews
“There is a strong link between patients’ ability to e-mail physicians and improved patient outcomes, concludes a study conducted by Kaiser Permanente.
[ More ]
John Schieszer, Renal And Urology News
“New findings suggest that electronic health records (EHR) with special features for managing hypertension may be highly beneficial in improving BP control.
[ More ]
