New Concepts in Hypertension Management: A Population-Based Perspective.
Hypertension (HTN) is the most common chronic disease in the U.S., and the standard model of office-based care delivery has yielded suboptimal outcomes, with approximately 50% of affected patients not achieving blood pressure (BP) control. Poor population-level BP control has been primarily attributed to therapeutic inertia and low patient engagement. New models of care delivery utilizing patient-generated health data, comprehensive assessment of social health determinants, computerized algorithms generating tailored interventions, frequent communication and reporting, and non-physician providers organized as an integrated practice unit, have the potential to transform population-based HTN control. This review will highlight the importance of these elements and construct the rationale for a reengineered model of care delivery for populations with HTN.
Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School - University of Queensland School of Medicine, and the Center for Healthcare Innovation, Ochsner Health System, New Orleans, Louisiana. Electronic address: rmilani@ochsner.org.
Richard V
RV
Milani
Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School - University of Queensland School of Medicine, and the Center for Healthcare Innovation, Ochsner Health System, New Orleans, Louisiana.
Carl J
CJ
Lavie
Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School - University of Queensland School of Medicine, and the Center for Healthcare Innovation, Ochsner Health System, New Orleans, Louisiana.
Jonathan K
JK
Wilt
Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School - University of Queensland School of Medicine, and the Center for Healthcare Innovation, Ochsner Health System, New Orleans, Louisiana.
Robert M
RM
Bober
Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School - University of Queensland School of Medicine, and the Center for Healthcare Innovation, Ochsner Health System, New Orleans, Louisiana.
Hector O
HO
Ventura
D019468:Disease Management; D006801:Humans; D006973:Hypertension / Q000628:therapy*; D010358:Patient Participation / Q000379:methods / Q000639:trends
Chronic disease; Hypertension; Patient engagement