Why the study?
Guidelines recommend home blood pressure monitoring to screen for and manage hypertension, but standardizing its use in primary care settings needed evaluation.
Does standardizing home blood pressure monitoring improve blood pressure outcomes and data collection in primary care?
Does standardizing home blood pressure monitoring improve blood pressure outcomes and data collection in primary care?
Standardizing home blood pressure monitoring in primary care faces significant logistical challenges, with only 40% of patients providing actionable data, highlighting the need for better IT and policy support.
Current guidelines recommend the use of home blood pressure monitoring (HBPM) to screen for and manage hypertension. In this study, a quality improvement project was designed to standardize the use of HBPM in a primary care setting and demonstrate improved blood pressure outcomes. Initial systolic and diastolic values were compared to averages from patient logs. Patient and provider feedback was collected. Only 40% of patients enrolled presented to follow-up with actionable HBPM data. Patients encountered logistical challenges in obtaining and presenting HBPM data. Interprofessional collaboration and improved information technology systems would improve outcomes. This will require increased policy and insurer support to make this possible in small settings.
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Knoll et al. (2023) studied this question.
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