{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:25:39Z","timestamp":1791246339622,"version":"4.1.0"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T00:00:00Z","timestamp":1752883200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"National Hypertension Control Initiative"},{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100021336","name":"Office of Minority Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100021336","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Self-measured blood pressure is an important tool for diagnosing and controlling hypertension. Current insurance coverage for home blood pressure monitors varies widely, creating potential barriers to implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>This observational study was conducted in a large, multisite Federally Qualified Health Center in Tucson, AZ, between 2023 and 2024. We compared prescription rates and fill rates during two 6-month periods: the final six months of grant-funded free monitor distribution (2023, n\u2005=\u20052,619 prescriptions, 2,357 fills) vs. the first 6 months after grant end when patients were charged approximately $35 (2024, n\u2005=\u20051,630 prescriptions, 974 fills). Data were extracted from the electronic health records system and analyzed using R version 4.2.3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>After cost-sharing implementation, two distinct effects reduced monitor distribution: prescription fill rates decreased from 90.0% to 59.8% (30.2% reduction, 95% CI [27.8%, 32.2%]), and providers sent 38% fewer prescriptions. The combined effect of both reduced prescribing and lower fill rates resulted in 59% fewer patients receiving monitors (974 vs. 2,357).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>In this single-center study, cost-sharing was associated with substantial reductions in both prescribing and filling of home BP monitor prescriptions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ajh\/hpaf124","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T08:27:22Z","timestamp":1753086442000},"page":"1030-1033","source":"Crossref","is-referenced-by-count":2,"title":["Impact of Cost-Sharing on Self-Measured Blood Pressure: Cost and Prescription Abandonment for Home BP Monitors in a Large FQHC"],"prefix":"10.1093","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1486-9818","authenticated-orcid":false,"given":"Lisa F","family":"Soltani","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, El Rio Health , Tucson, Arizona ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2158-9768","authenticated-orcid":false,"given":"Daniel J","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Public Health, A.T. Still University , Mesa, Arizona ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2853-638X","authenticated-orcid":false,"given":"Erin L","family":"Dougherty","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, El Rio Health , Tucson, Arizona ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace K","family":"Parker","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, El Rio Health , Tucson, Arizona ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,7,19]]},"reference":[{"key":"2025111618571396200_CIT0001","first-page":"e24","article-title":"2017 ACC\/AHA\/AAPA\/ABC\/ACPM\/AGS\/APhA\/ASH\/ASPC\/NMA\/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults","volume":"71","author":"Whelton","year":"2018","journal-title":"Hypertension"},{"key":"2025111618571396200_CIT0002","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1056\/NEJMoa2206916","article-title":"Global effect of modifiable risk factors on cardiovascular disease and mortality","volume":"389","author":"Global Cardiovascular Risk Consortium","year":"2023","journal-title":"N Engl J Med"},{"key":"2025111618571396200_CIT0003","doi-asserted-by":"crossref","first-page":"1190","DOI":"10.1001\/jama.2020.14545","article-title":"Trends in blood pressure control among US adults with hypertension, 1999-2000 to 2017-2018","volume":"324","author":"Muntner","year":"2020","journal-title":"JAMA"},{"key":"2025111618571396200_CIT0004","first-page":"123","article-title":"Self-measured blood pressure monitoring at home: a joint policy statement","volume":"38","author":"American Heart Association and American Medical Association","year":"2023","journal-title":"J Hypertens"},{"key":"2025111618571396200_CIT0005","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1111\/jch.13216","article-title":"Guidance on home blood pressure monitoring: a statement of the HOPE Asia Network","volume":"20","author":"Kario","year":"2018","journal-title":"J Clin Hypertens (Greenwich)"},{"key":"2025111618571396200_CIT0006","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1186\/s12875-021-01391-2","article-title":"The association between self-efficacy and self-care in essential hypertension: a systematic review","volume":"22","author":"Tan","year":"2021","journal-title":"BMC Fam Pract"},{"key":"2025111618571396200_CIT0007","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1093\/ajh\/hpab170","article-title":"How do we jump-start self-measured blood pressure monitoring in the United States? addressing barriers beyond the published literature","volume":"35","author":"Wall","year":"2022","journal-title":"Am J Hypertens"},{"key":"2025111618571396200_CIT0008","volume-title":"National Hypertension Control Initiative: Addressing Disparities among Racial and Ethnic Minority Populations"},{"key":"2025111618571396200_CIT0009","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.1007\/s11606-008-0614-0","article-title":"Effects of increased patient cost sharing on socioeconomic disparities in health care","volume":"23","author":"Chernew","year":"2008","journal-title":"J Gen Intern Med"}],"container-title":["American Journal of Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ajh\/advance-article-pdf\/doi\/10.1093\/ajh\/hpaf124\/63808684\/hpaf124.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ajh\/article-pdf\/38\/12\/1030\/63808684\/hpaf124.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ajh\/article-pdf\/38\/12\/1030\/63808684\/hpaf124.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,16]],"date-time":"2025-11-16T23:57:18Z","timestamp":1763337438000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ajh\/article\/38\/12\/1030\/8209577"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,19]]},"references-count":9,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,7,19]]},"published-print":{"date-parts":[[2025,11,17]]}},"URL":"https:\/\/doi.org\/10.1093\/ajh\/hpaf124","relation":{},"ISSN":["0895-7061","1941-7225"],"issn-type":[{"value":"0895-7061","type":"print"},{"value":"1941-7225","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,12]]},"published":{"date-parts":[[2025,7,19]]}}}