title: Active ambulatory care management supported by short message services and mobile phone technology in patients with arterial hypertension.
abstract: The use of short message services and mobile phone technology for ambulatory care management is the most accessible and most inexpensive way to transition from traditional ambulatory care management to active ambulatory care management in patients with arterial hypertension (AH). The aim of this study was to compare the clinical efficacy of active ambulatory care management supported by short message services and mobile phone technology with traditional ambulatory care management in AH patients. The study included 97 hypertensive patients under active ambulatory care management and 102 patients under traditional ambulatory care management. Blood pressure levels, body mass, and smoking history of patients were analyzed in the study. The duration of study was 1 year. In the active ambulatory care management group, 36% of patients were withdrawn from the study within a year. At the end of the year, 77% of patients from the active care management group had achieved the goal blood pressure level. That was more than 5 times higher than that in the traditional ambulatory care management group (P < .001). The risk ratio of achieving and maintaining the goal blood pressure in patients of active care management group was 5.44, CI (3.2-9.9; P = .005). Implementation of active ambulatory care management supported by short message services and mobile phone improves the quality of ambulatory care of hypertensive patients.
authors.affiliation: Centre of New Cardiological Informational Technologies, Saratov Research Institute of Cardiology, Saratov, Russia. antonkis@list.ru
authors.forename: Anton R
authors.initials: AR
authors.lastname: Kiselev
authors.forename: Vladimir I
authors.initials: VI
authors.lastname: Gridnev
authors.forename: Vladimir A
authors.initials: VA
authors.lastname: Shvartz
authors.forename: Olga M
authors.initials: OM
authors.lastname: Posnenkova
authors.forename: Pavel Ya
authors.initials: PY
authors.lastname: Dovgalevsky
mesh_terms: D000328:Adult; D000553:Ambulatory Care / Q000379:methods / Q000592:standards; D018660:Blood Pressure Monitoring, Ambulatory / Q000379:methods* / Q000592:standards; D040421:Cell Phone; D057186:Comparative Effectiveness Research; D019468:Disease Management; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000628:therapy; D008297:Male; D054539:Medication Therapy Management; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010346:Patient Care Management / Q000458:organization & administration*; D058996:Quality Improvement; D012426:Russia; D060145:Text Messaging