title: The role of home blood pressure telemonitoring in managing hypertensive populations.
abstract: Hypertension is a common chronic disease affecting nearly one-third of the United States population. Many interventions have been designed to help patients manage their hypertension. With the evolving climate of healthcare, rapidly developing technology, and emphasis on delivering patient-centered care, home-based blood pressure telemonitoring is a promising tool to help patients achieve optimal blood pressure (BP) control. Home-based blood pressure telemonitoring is associated with reductions in blood pressure values and increased patient satisfaction. However, additional research is needed to understand cost-effectiveness and long-term clinical outcomes of home-based BP monitoring. We review key interventional trials involving home based BP monitoring, with special emphasis placed on studies involving additionally behavioral modification and/or medication management. Furthermore, we discuss the role of home-based blood pressure telemonitoring within the context of the patient-centered medical home and the evolving role of technology.
authors.affiliation: Center of Excellence for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, 411 West Chapel Street, Durham, NC 27701, USA. zullig@email.unc.edu
authors.forename: Leah L
authors.initials: LL
authors.lastname: Zullig
authors.forename: S Dee
authors.initials: SD
authors.lastname: Melnyk
authors.forename: Karen
authors.initials: K
authors.lastname: Goldstein
authors.forename: Ryan J
authors.initials: RJ
authors.lastname: Shaw
authors.forename: Hayden B
authors.initials: HB
authors.lastname: Bosworth
mesh_terms: D000818:Animals; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001794:Blood Pressure / Q000187:drug effects* / Q000502:physiology; D001795:Blood Pressure Determination / Q000379:methods; D018660:Blood Pressure Monitoring, Ambulatory / Q000379:methods; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy*; D017060:Patient Satisfaction; D017216:Telemedicine
chemical_list: D000959:Antihypertensive Agents