A14814 Ownership of home blood pressure devices among patients with hypertension in primary care

Ching, Siew Mooi; Tan, Shu Leed; Ramzdan, Siti Nurkamilla; Chia, Yook Chin

doi:10.1097/01.hjh.0000548699.65798.18

Cited by 2 publications

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“…A summary of the initiatives that are undertaken to support the use of HBPM in the countries/regions is provided in Table 2. 3,8,9,15,16,20,[30][31][32][33][34][35][36][37][38][39][40][41][42][43] The initiatives generally fall into three broad categories: HBPM re- HBP monitors, and provide guidance on how to use these devices (Table 2).…”

Section: Re S E Arch Efforts and Other Initiative S Rel Ating To Hb Pmmentioning

confidence: 99%

Insights on home blood pressure monitoring in Asia: Expert perspectives from 10 countries/regions

Wang

Bunyi

Chia

et al. 2020

J of Clinical Hypertension

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Hypertension is one of the most powerful modifiable risk factors for cardiovascular disease. It is usually asymptomatic and therefore essential to measure blood pressure regularly for the detection of hypertension. Home blood pressure monitoring (HBPM) is recognized as a valuable tool to monitor blood pressure and facilitate effective diagnosis of hypertension. It is useful to identify the masked or white‐coat hypertension. There is also increasing evidence that supports the role of HBPM in guiding antihypertensive treatment, and improving treatment compliance and hypertension control. In addition, HBPM has also shown prognostic value in predicting cardiovascular events. Despite these benefits, the use of HBPM in many parts of Asia has been reported to be low. An expert panel comprising 12 leading experts from 10 Asian countries/regions convened to share their perspectives on the realities of HBPM. This article provides an expert summary of the current status of HBPM and the key factors hindering its use. It also describes HBPM‐related initiatives in the respective countries/regions and presents strategies that could be implemented to better support the use of HBPM in the management of hypertension.

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Section: Re S E Arch Efforts and Other Initiative S Rel Ating To Hb Pmmentioning

confidence: 99%

Insights on home blood pressure monitoring in Asia: Expert perspectives from 10 countries/regions

Wang

Bunyi

Chia

et al. 2020

J of Clinical Hypertension

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“…HBP monitoring is superior to ambulatory BP monitoring in cost, accessibility and usability (7,8). Globally, HBP device ownership varies between 30 and 70% (9)(10)(11)(12)(13)(14)(15). As a population known for embracing technology in a local study, more than 80% of Singaporean physicians recommended HBP monitoring to their patients and utilized these measurements to monitor the effects of anti-hypertensive therapy and make informed clinical decisions (16).…”

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confidence: 99%

Exploring primary care physicians’ challenges in using home blood pressure monitoring to manage hypertension in Singapore: a qualitative study

Moosa,

Oka,

2024

Front. Med.

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ObjectiveHypertension guidelines recommend using home blood pressure (HBP) to diagnose, treat and monitor hypertension. This study aimed to explore the challenges primary care physicians (PCPs) face in using HBP to manage patients with hypertension.MethodA qualitative study was conducted in 2022 at five primary care clinics in Singapore. An experienced qualitative researcher conducted individual in-depth interviews with 17 PCPs using a semi-structured interview guide. PCPs were purposively recruited based on their clinical roles and seniority until data saturation. The interviews were audio-recorded, transcribed verbatim and managed using NVivo qualitative data management software. Analysis was performed using thematic analysis.ResultsPCPs identified variations in patients’ HBP monitoring practices and inconsistencies in recording them. Access to HBP records relied on patients bringing their records to the clinic visit. A lack of seamless transfer of HBP records to the EMR resulted in an inconsistency in documentation and additional workload for PCPs. PCPs struggled to interpret the HBP readings, especially when there were BP fluctuations; this made treatment decisions difficult.ConclusionDespite strong recommendations to use HBP to inform hypertension management, PCPs still faced challenges accessing and interpreting HBP readings; this makes clinical decision-making difficult. Future research should explore effective ways to enhance patient self-efficacy in HBP monitoring and support healthcare providers in documenting and interpreting HBP.

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A14814 Ownership of home blood pressure devices among patients with hypertension in primary care

Cited by 2 publications

References 0 publications

Insights on home blood pressure monitoring in Asia: Expert perspectives from 10 countries/regions

Insights on home blood pressure monitoring in Asia: Expert perspectives from 10 countries/regions

Exploring primary care physicians’ challenges in using home blood pressure monitoring to manage hypertension in Singapore: a qualitative study

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