miércoles, 5 de mayo de 2010

Web-Facilitated Home Monitoring and Ongoing Pharmacist Support Improve Blood Pressure Control in Hypertensive Patients


Web-Facilitated Home Monitoring and Ongoing Pharmacist Support Improve Blood Pressure Control in Hypertensive Patients


Snapshot
Summary

Group Health Cooperative, a large, integrated health system, developed a patient-centered model of care for controlling hypertension that incorporates three elements: education and training on use of an existing Web-based system, home monitoring of blood pressure, and periodic contact from pharmacists to review blood pressure readings and adjust therapy as needed. At 1-year followup, those patients receiving all three program elements achieved greater improvements in blood pressure control and took more blood pressure medications than did patients receiving only certain elements of the program and those receiving usual care. In early 2009, the program was expanded to six additional medical centers and integrated into Group Health Cooperative’s medical home program.

Please see the Description, Results, and Funding Sources sections for updated information.

Evidence Rating
Strong: The evidence consists of a randomized controlled trial that measured key outcomes, including the percentage of patients with controlled hypertension, changes in BP, medication use, and utilization.

Developing Organizations
Group Health Cooperative

Seattle, WA
Date First Implemented
2005

open here to see the full-text:
http://www.innovations.ahrq.gov/content.aspx?id=2318

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