https://scholars.lib.ntu.edu.tw/handle/123456789/624409
標題: | An Integrated Community-Based Blood Pressure Telemonitoring Program – A Population-Based Observational Study | 作者: | Yang, Ju Yeh YEN-WEN WU Chuang, Wenpo Lin, Tzu Chun SHU-WEN CHANG SHOU-HSIA CHENG Raymond N. Kuo |
關鍵字: | Blood pressure | Community | Healthcare cost | Hospitalization | Hypertension | Mobile health | Telemonitor | 公開日期: | 1-九月-2022 | 出版社: | Republic of China Society of Cardiology | 卷: | 38 | 期: | 5 | 起(迄)頁: | 612 | 來源出版物: | Acta Cardiologica Sinica | 摘要: | Background: Home blood pressure telemonitoring (BPT) has been shown to improve blood pressure control. A community-based BPT program (the Health+ program) was launched in 2015 in an urban area around a medical center. Objectives: To examine the impact of the BPT program on the use of medical resources. Methods: We conducted a retrospective propensity-score (PS)-matched observational cohort study using the National Health Insurance Research Database (NHIRD) 2013-2016 in Taiwan. A total of 9,546 adults with a high risk of cardiovascular disease participated in the integrated BPT program, and 19,082 PS-matched controls were identified from the NHIRD. The primary and secondary outcome measures were changes in 1-year emergency department visit rate, hospitalization rate, duration of hospital stay, and healthcare costs. Results: The number of emergency department visits in the Health+ group significantly reduced (0.8 to 0.6 per year vs. 0.8 to 0.9 per year, p < 0.0001) along with a significant decrease in hospitalization rate (43.7% to 21.3% vs. 42.7% to 35.3%, p < 0.001). The duration of hospital stay was also lower in the Health+ group (4.3 to 3.3 days vs. 5.3 to 6.5 days, p <0.0001). The annual healthcare costs decreased more in the Health+ group (USD 1642 to 1169 vs. 1466 to 1393 per year, p < 0.001), compared with the controls. Subgroup analysis of the Health+ group revealed that the improvements in outcomes were significantly greater among those who were younger and had fewer comorbidities, especially without diabetes or hypertension. Conclusions: A community-based integrated BPT program may improve patients’ health outcomes and reduce healthcare costs. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/624409 | ISSN: | 10116842 | DOI: | 10.6515/ACS.202209_38(5).20220330A |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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