E-health blood pressure control program

J Med Pract Manage. Sep-Oct 2012;28(2):91-100.

Abstract

Both technological and human factors design requirements for integration of home blood pressure monitoring (HBPM) into a patient centered medical home (PCMH) model primary care practice are described. Patients with uncontrolled hypertension were given home blood pressure (BP) monitors, and after a three-month run-in period introduced to either a high-tech only (HBPM connectivity to personal health record and tailored Web portal access) or a high-tech/"high-touch" (high-tech solution plus patient navigator [PN]) solution. Features of the Web portal included: BP graphing function, traffic-light feedback system of BP goal attainment, economic incentives for self-monitoring, and dual patient-facing and care-team-facing dashboard functions. The e-health BP control system with PN support was well received by patients, providers, and the healthcare team. Current e-health technology and limited technological literacy of many patients suggest that a PN or some other personnel resource may be required for the adoption of patient-facing technology in primary care.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Blood Pressure Monitoring, Ambulatory / instrumentation*
  • Humans
  • Hypertension / prevention & control*
  • Internet*
  • Patient Compliance
  • Patient-Centered Care
  • Primary Health Care / methods*
  • Rhode Island
  • User-Computer Interface