增强水牛城的能力:通过免费借用血压计和共同决策改善高血压状况

IF 4.3 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS American journal of preventive cardiology Pub Date : 2024-09-01 DOI:10.1016/j.ajpc.2024.100819
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引用次数: 0

摘要

治疗领域预防心脏病学最佳实践--诊所运营、团队方法、结果研究背景高血压是一个严重的健康问题,可导致心脏病和其他并发症。尽管有行之有效的高血压控制方法,但最近的数据显示,美国的血压(BP)控制率正在下降。这凸显了专家建议与实际操作之间的差距。为解决这一问题,我们的倡议重点服务于服务不足的社区,特别是赫特尔埃尔姆伍德诊所所服务的社区。通过借出血压袖带(由美国心脏协会资助)和利用自测血压监测,我们旨在远程管理高血压。这种方法对于增强患者能力、改善疗效、促进护理的连续性以及在照顾弱势群体的护理社区内建立复原力具有重要意义。方法为 83 名确诊为高血压的患者配备血压监测仪,以跟踪他们的血压。对患者病历进行检查,以收集人口统计学数据和血压计配发前后 1-3 个月的诊室血压读数。此外,还对部分患者进行了包含 24 个问题的电话调查,以评估他们的参与度和满意度。问卷采用李克特量表和二元答案进行测量。结果在对数据图表进行全面分析后,获得血压袖带和共同决策的参与者的收缩压显著降低了 11.7 毫米汞柱(P<0.05,5.15 至 7.54),舒张压降低了 4.25 毫米汞柱(P<0.05,3.88 至 4.93)。参与者中 66% 为女性,平均年龄为 61 岁。种族分布为 70% 非洲裔美国人,20% 白种人,10% 未报告。总之,本研究提供的数据有力地证明,向诊所患者免费提供血压计或血压仪(由保险支付)是改善健康状况和提高患者参与度的一项非常有效的策略。研究结果表明,消除费用障碍可显著降低诊室内血压、监测血压并提高患者满意度。该计划通过提高患者参与度和整体满意度,使患者和医疗服务提供者受益。这项计划的成功凸显了探索和实施新型医疗保健方法的重要性,这些方法优先考虑以患者为中心的护理,并解决可能阻碍有效高血压管理的财务和后勤障碍。要确认这些研究结果的普遍性并确定该计划的长期有效性,还需要进一步的研究。不过,这项研究为今后的研究奠定了坚实的基础,并支持实施类似的计划,以改善患者的健康和福祉。
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EMPOWERING BUFFALO: IMPROVING HYPERTENSION THROUGH FREE BLOOD PRESSURE MONITOR LOANING AND SHARED DECISION-MAKING

Therapeutic Area

Preventive Cardiology Best Practices – clinic operations, team approaches, outcomes research

Background

Hypertension is a serious health concern that can lead to heart disease and other complications. Despite the availability of proven methods for managing hypertension, recent data shows that blood pressure (BP) control in the US is declining. This highlights a gap between expert recommendations and real-world practice. To address this issue, our initiative focuses on serving underserved communities, specifically those the Hertel Elmwood Clinic serves. By loaning out blood pressure cuffs ( through AHA grants) and utilizing self-measured blood pressure monitoring, we aim to manage hypertension remotely. This approach has significant implications for empowering patients, improving outcomes, promoting continuity of care, and building resilience within care communities that cater to vulnerable populations.

Methods

A cohort of 83 individuals diagnosed with hypertension were equipped with BP monitors to track their blood pressure. Patient charts were examined to gather demographic data and office BP readings for 1-3 months pre- and post-monitor distribution. Furthermore, a phone survey with 24 questions was administered to a subset of patients to assess their engagement and satisfaction levels. Responses were measured using a Likert scale and binary answers. The results were analyzed using descriptive statistics and paired t-tests.

Results

After conducting a thorough analysis of the data chart, the participants who received a blood pressure cuff and shared decision-making witnessed a remarkable reduction in their systolic BP by 11.7 mm Hg (P<0.05, 5.15 to 7.54) and diastolic BP by 4.25 mm Hg (P<0.05, 3.88 to 4.93). The participants comprised 66% females, with an average participant age of 61. The race distribution was 70% African American, 20% Caucasian, and 10% unreported. Most participants (90%) reported feeling empowered in their healthcare and other benefits.

Conclusions

In conclusion, the data presented in this study provides compelling evidence that delivering free BP monitors or BP machines covered by insurance to clinic patients is a highly effective strategy for improving health outcomes and patient engagement. The results demonstrate that removing cost barriers can significantly impact in-office BP reduction, BP monitoring, and patient satisfaction. This program benefits patients and healthcare providers by improving patient engagement and overall satisfaction. The success of this initiative highlights the importance of exploring and implementing novel approaches to healthcare that prioritize patient-centered care and address the financial and logistical barriers that can hinder effective hypertension management. Further research is needed to confirm the generalizability of these findings and determine this program's long-term effectiveness. Nonetheless, this study provides a strong basis for future research and supports the implementation of similar programs to improve the health and well-being of patients.
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来源期刊
American journal of preventive cardiology
American journal of preventive cardiology Cardiology and Cardiovascular Medicine
CiteScore
6.60
自引率
0.00%
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0
审稿时长
76 days
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