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26
July, 2014
Saturday

Hypertension telemanagement in blacks

Abstract

We propose evaluation of a multi-component home automated telemanagement system providing integrated support to both clinicians and patients in implementing hypertension treatment guidelines. In a randomized clinical study, 550 blacks with hypertension are followed for 18 months. The major components of the intervention and control groups are identical and are based on the current standard of care. For the purpose of this study, we define “standard of care” as the expected evidence-based care provided according to the current hypertension treatment guidelines. Although intervention and control groups are similar in terms of their care components, they differ in the mode of care delivery. For the control group the best attempt is made to deliver all components of a guideline-concordant care in a routine clinical environment whereas for the intervention group the routine clinical environment is enhanced with health information technology that assists clinicians and patients in working together in implementing treatment guidelines. The home automated telemanagement system guides patients in following their individualized treatment plans and helps care coordination team in monitoring the patient progress. The study design is aimed at addressing the main question of this trial: whether the addition of the information technology-enhanced care coordination in the routine primary care setting can improve delivery of evidence-based hypertension care in blacks. The outcome parameters include quality of life, medical care use, treatment compliance, psychosocial variables, and improvement in blood pressure control rates. The trial will provide insight on the potential impact of information technology-enhanced care coordination in blacks with poorly controlled hypertension.

Finkelstein, Joseph, and Eunme Cha. “Hypertension telemanagement in blacks.” Circulation. Cardiovascular Quality and Outcomes 2, no. 3 (May 2009): 272-278.  

27 March 2010

Bibliographic Data

Title:

Hypertension telemanagement in blacks

Author(s):

Finkelstein, Joseph; Cha, Eunme

Journal

Circulation. Cardiovascular Quality and Outcomes, 2(3), pp. 272-278
(2009-05)

URL:

Abstract

DOI:

10.1161/CIRCOUTCOMES.109.849968

PMID:

20031848

Keyword(s):

Adherence, African Continental Ancestry Group, Hypertension, Randomized Controlled Trials, Self Care, Telemedicine, United States

Citation:

Finkelstein, Joseph, and Eunme Cha. “Hypertension telemanagement in blacks.” Circulation. Cardiovascular Quality and Outcomes 2, no. 3 (May 2009): 272-278.  

Other Publications

In ICMCC Database

Other article(s) by

Joseph Finkelstein (2).

Discussion




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