Beyond inpatient and outpatient care: alternative model for hypertension management.
Hypertension is a major contributor to worldwide cardiovascular mortality, however, only one-third of patients with hypertension have their blood pressure treated to guideline recommended levels. To improve hypertension control, there may need to be a fundamental shift in care delivery, one that is population-based and simultaneously addresses patient, provider and system barriers. One potential approach is home-based disease management, based on the triad of home monitoring, team care, and patient self-care. Although there may be challenges to achieving the vision of home-based disease management, there are tremendous potential benefits of such an approach for reducing the global burden of cardiovascular disease.
Ho
P Michael
PM
Cardiology Section, Denver VA Medical Center, 1055 Clermont Street (111B), Denver, Colorado 80220, USA. Michael.Ho@UCHSC.edu
Rumsfeld
John S
JS
D001795:Blood Pressure Determination; D003695:Delivery of Health Care; D019468:Disease Management; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D006973:Hypertension / Q000628:therapy*; D009819:Office Visits; D010348:Patient Care Team; D017410:Practice Guidelines as Topic; D012648:Self Care; D017216:Telemedicine