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New Concepts in Hypertension Management: A Population-Based Perspective

Abstract 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...

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Bibliographic Details
Published in:Progress in cardiovascular diseases 2016-11, Vol.59 (3), p.289-294
Main Authors: Milani, Richard V, Lavie, Carl J, Wilt, Jonathan K, Bober, Robert M, Ventura, Hector O
Format: Article
Language:English
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Summary:Abstract 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.
ISSN:0033-0620
1532-8643
DOI:10.1016/j.pcad.2016.09.005