{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T18:36:27Z","timestamp":1789929387173,"version":"4.0.1"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2023,3,18]],"date-time":"2023-03-18T00:00:00Z","timestamp":1679097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Omron Healthcare Co. Ltd paid to the Northwestern University"},{"name":"National Institutes of Health's National Center for Advancing Translational Sciences","award":["UL1TR001422"],"award-info":[{"award-number":["UL1TR001422"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Out-of-office blood pressure (BP) measurements contribute valuable information for guiding clinical management of hypertension. Measurements from home devices can be directly transmitted to patients' electronic health record for use in remote monitoring programs.<\/jats:p><jats:p>\n          Objective\u2003This study aimed to compare in primary care practice care coordinator-assisted implementation of remote patient monitoring (RPM) for hypertension to RPM implementation alone and to usual care.<\/jats:p><jats:p>\n          Methods\u2003This was a pragmatic observational cohort study. Patients aged 65 to 85 years with Medicare insurance from two populations were included: those with uncontrolled hypertension and a general hypertension group seeing primary care physicians (PCPs) within one health system. Exposures were clinic-level availability of RPM plus care coordination, RPM alone, or usual care. At two clinics (13 PCPs), nurse care coordinators with PCP approval offered RPM to patients with uncontrolled office BP and assisted with initiation. At two clinics (39 PCPs), RPM was at PCPs' discretion. Twenty clinics continued usual care. Main measures were controlling high BP (&lt;140\/90\u2009mm Hg), last office systolic blood pressure (SBP), and proportion with antihypertensive medication intensification.<\/jats:p><jats:p>\n          Results\u2003Among the Medicare cohorts with uncontrolled hypertension, 16.7% (39\/234) of patients from the care coordination clinics were prescribed RPM versus &lt;1% (4\/600) at noncare coordination sites. RPM-enrolled care coordination group patients had higher baseline SBP than the noncare coordination group (148.8 vs. 140.0\u2009mm Hg). After 6 months, in the uncontrolled hypertension cohorts the prevalences of controlling high BP were 32.5% (RPM with care coordination), 30.7\u2009% (RPM alone), and 27.1% (usual care); multivariable adjusted odds ratios (95% confidence interval) were 1.63 (1.12\u20132.39; p\u2009=\u20090.011) and 1.29 (0.98\u20131.69; p\u2009=\u20090.068) compared with usual care, respectively.<\/jats:p><jats:p>\n          Conclusion\u2003Care coordination facilitated RPM enrollment among poorly controlled hypertension patients and may improve hypertension control in primary care among Medicare patients.<\/jats:p>","DOI":"10.1055\/a-2057-7277","type":"journal-article","created":{"date-parts":[[2023,3,18]],"date-time":"2023-03-18T23:31:05Z","timestamp":1679182265000},"page":"428-438","source":"Crossref","is-referenced-by-count":18,"title":["Prospective Cohort Study of Remote Patient Monitoring with and without Care Coordination for Hypertension in Primary Care"],"prefix":"10.1055","volume":"14","clinical-trial-number":[{"clinical-trial-number":"nct04764318","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"Stephen D.","family":"Persell","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States"},{"name":"Center for Primary Care Innovation, Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia C.","family":"Petito","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Division of Biostatistics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Anthony","sequence":"additional","affiliation":[{"name":"Department of Quality and Patient Safety, Northwestern Medical Group, Northwestern Memorial Healthcare, Chicago, Illinois, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaw","family":"Peprah","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji Young","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara","family":"Campanella","sequence":"additional","affiliation":[{"name":"Department of Ambulatory Care Coordination, Northwestern Memorial Healthcare, Chicago, Illinois, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Ambulatory Care Coordination, Northwestern Memorial Healthcare, Chicago, Illinois, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Pigott","sequence":"additional","affiliation":[{"name":"Department of Ambulatory Care Coordination, Northwestern Memorial Healthcare, Chicago, Illinois, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmina","family":"Kadric","sequence":"additional","affiliation":[{"name":"Department of Ambulatory Care Coordination, Northwestern Memorial Healthcare, Chicago, Illinois, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles J.","family":"Duax","sequence":"additional","affiliation":[{"name":"Downshift Consulting, Chicago, Illinois, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jim","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Global Medical Affairs, Omron Healthcare Co. Ltd, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hironori","family":"Sato","sequence":"additional","affiliation":[{"name":"Product Innovation Department, Technology Development HQ, Omron Healthcare Co. 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Green","year":"2008","journal-title":"JAMA"},{"issue":"13","key":"ref20","doi-asserted-by":"crossref","first-page":"1250","DOI":"10.1001\/jamainternmed.2013.1037","article-title":"Blood pressure 1 year after completion of web-based pharmacist care","volume":"173","author":"B B Green","year":"2013","journal-title":"JAMA Intern Med"}],"container-title":["Applied Clinical 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