Connected health最新文献_第2页

Telemedicine for blood pressure control in low- and middle-income countries: the journey ahead 在低收入和中等收入国家进行血压控制的远程医疗:未来的旅程

Connected health Pub Date : 2022-01-01 DOI: 10.20517/ch.2022.16

L. Ware

{"title":"Telemedicine for blood pressure control in low- and middle-income countries: the journey ahead","authors":"L. Ware","doi":"10.20517/ch.2022.16","DOIUrl":"https://doi.org/10.20517/ch.2022.16","url":null,"abstract":"In just over a half-century since the initiation of telemedicine, technological developments have created multiple options to shape how patients can access healthcare and interact with healthcare providers to better prevent and manage hypertension. In several high-income countries, patients are connecting to their healthcare providers online to book appointments, request prescriptions, see test results and engage in pro-active health management. Mounting evidence suggests that telemedicine and mobile health (mHealth) services can yield greater reductions in blood pressure when compared with usual care while also offering greater reach, efficiency, and potential cost-saving. A deeper examination of implementing such systems at scale in high-income countries shows varying approaches and levels of success. While research investigating the benefits of technology for blood pressure control in low- and middle-income countries is growing, in regions such as sub-Saharan Africa, economic and digital divides present major challenges to scaling such technology. Substantial national investments in infrastructure and skills development are needed alongside consultation with multiple stakeholders to ensure that technological advancements do not further drive health disparities in the region.","PeriodicalId":93536,"journal":{"name":"Connected health","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83865159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Home blood pressure in target range as an additional therapeutic goal in hypertensive patients: a telemonitoring-based analysis 家庭血压在目标范围内作为高血压患者的额外治疗目标:基于远程监测的分析

Connected health Pub Date : 2022-01-01 DOI: 10.20517/ch.2022.12

M. Ionov, E. Usova, Michil P. Egorov, N. Zvartau, A. Konradi

{"title":"Home blood pressure in target range as an additional therapeutic goal in hypertensive patients: a telemonitoring-based analysis","authors":"M. Ionov, E. Usova, Michil P. Egorov, N. Zvartau, A. Konradi","doi":"10.20517/ch.2022.12","DOIUrl":"https://doi.org/10.20517/ch.2022.12","url":null,"abstract":"Aim: Guidelines recommend treating hypertension (HTN) by keeping office blood pressure (BP) within the therapeutic range (TR). However, little is known about the TR of home BP. Therefore, we aimed to find a reliable proportion of home systolic (S) BP in TR (sBPiTR) using a telehealth platform, which facilitates the access to reliable and structured home BP data. Methods: We used the data of HTN patients who participated in BP telemonitoring and counseling for 3 months. Patients had to manually enter their home BP in electronic diaries. Home SBP readings were averaged by the system itself except the very first or every first day of BP monitoring. We divided sBPiTR (110-130 mmHg) by quartiles. A weighted Cohen’s kappa coefficient was used as an estimate of inter-rater reliability between sBPiTR and office/home SBP in TR. We used a binomial logistic regression to test the predictive value of sBPiTR on target office/home SBP achievement. Results: In total, 123 patients were included (median age 54 years; 102 males) with a median office SBP of 140 mmHg. By 3 months, it decreased to 130 mmHg (P < 0.001), with 60% of patients with target office BP and 70% in the upper sBPiTR quartiles. There was a slight agreement between office SBP in TR and sBPiTR of ≥ 50% (k = 0.19, P < 0.035) and fair agreement when countered against home SBP in TR (k = 0.32-0.65, P < 0.0001). Patients with sBPiTR of ≥ 50% were more likely to fall within the office and home SBP TR after adjustment for baseline covariates. Conclusion: The threshold of 50% of home SBP measurements within 110-130 mmHg has a slight agreement with office BP control and a fair agreement with home BP control. This variable may serve as a predictor for the achievement of target SBP both in and out of office. Larger studies are needed to confirm these preliminary results.","PeriodicalId":93536,"journal":{"name":"Connected health","volume":"323 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80299296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

State-of-the-art rapid review of the current landscape of digital hypertension 国家的最先进的快速审查当前景观的数字高血压

Connected health Pub Date : 2022-01-01 DOI: 10.20517/ch.2022.02

K. Kario, N. Harada, Ayako Okura

引用次数: 14

7 The Globalized Consumer Network: From Pineapples to Turkey Red Cigarettes to the Bunny Hug 7全球化的消费者网络:从菠萝到火鸡红香烟再到兔子拥抱

Connected health Pub Date : 2020-12-31 DOI: 10.1515/9780804788410-010

Steven Cassedy

引用次数: 0

Conclusion: Who You Are 结论:你是谁

Connected health Pub Date : 2020-12-31 DOI: 10.1515/9780804788410-014

引用次数: 0