Success in the Achieving CARdiovascular Excellence in Colorado (A CARE) Home Blood Pressure Monitoring Program: A Report from the Shared Networks of Colorado Ambulatory Practices and Partners (SNOCAP)

@article{Dealleaume2015SuccessIT,
  title={Success in the Achieving CARdiovascular Excellence in Colorado (A CARE) Home Blood Pressure Monitoring Program: A Report from the Shared Networks of Colorado Ambulatory Practices and Partners (SNOCAP)},
  author={Lauren Dealleaume and Bennett L Parnes and Linda Zittleman and Christin Sutter and Robert Chavez and Jackie Bernstein and William G. LeBlanc and Miriam Dickinson and John M. Westfall},
  journal={The Journal of the American Board of Family Medicine},
  year={2015},
  volume={28},
  pages={548 - 555}
}
Background: Blood pressure (BP) control among primary care patients with hypertension is suboptimal. Home BP monitoring (HBPM) has been shown to be effective but is underused. Methods: This study was a quasi-experimental evaluation of the impact of the A CARE HBPM program on hypertension control. Nonpregnant adults with hypertension or cardiovascular disease risk factors were given validated home BP monitors and reported monthly average home BP readings by Internet or phone. Patients and… 
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Highly Influential Citations
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Background Citations
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Methods Citations
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19 Citations

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Citation Type

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References

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TLDR
Management of uncomplicated hypertension based on periodic home BP reports can achieve BP control with fewer physician visits, resulting in substantial cost savings.
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TLDR
It is recommended that HBPM should become a routine component of BP measurement in the majority of patients with known or suspected hypertension and patients should be advised to purchase oscillometric monitors that measure BP on the upper arm with an appropriate cuff size and that have been shown to be accurate according to standard international protocols.
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TLDR
It is recommended that HBPM should become a routine component of BP measurement in the majority of patients with known or suspected hypertension and patients should be advised to purchase oscillometric monitors that measure BP on the upper arm with an appropriate cuff size and that have been shown to be accurate according to standard international protocols.
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Using a survey of a cohort of primary care patients, the authors determined the proportion currently using home blood pressure monitoring (HBPM) and calculated odds ratios (ORs) of factors associated…
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TLDR
A decision-analytic model is developed that suggests that reimbursement of home BP monitoring is cost beneficial from an insurer’s perspective for diagnosing and treating hypertension.
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TLDR
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TLDR
A total of 20% of PCPs indicated that their patients were poor to lower middle class; these PCPs were less likely to recommend HBPM to their patients than were those PCPs with most patients in higher economic classes.
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