{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:02:46Z","timestamp":1792785766237,"version":"4.5.0"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:00:00Z","timestamp":1763510400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009457","name":"American Medical Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009457","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01HL158622"],"award-info":[{"award-number":["R01HL158622"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Linde Family Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Self-measured blood pressure (SMBP) monitoring is a proposed strategy to improve hypertension control, but few studies compare SMBP with automated office blood pressure (AOBP) measurements over time. Moreover, little is known about reimbursement for these services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We describe a quality improvement initiative in our academic internal medicine practice. Patients received validated home blood pressure (BP) devices and were instructed to check their BP twice daily for 7 days each month. Devices transmitted readings seamlessly via a smartphone application that averaged weekly readings. Clinicians reviewed the data and adjusted therapy if indicated. We tracked changes in SMBP, AOBP, antihypertensive medications, and reimbursement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 140 patients referred (mean age 57.6 years, 57.1% women, 25.7% Black), 59 completed the program. Over 6 months, the mean self-measured systolic BP decreased by 5.8 mm Hg (95% CI: \u22128.2 to \u22123.5) and the mean diastolic BP decreased by 2.8 mm Hg (95% CI: \u22124.2 to \u22121.4) and the number with BP &amp;lt;130\/&amp;lt;80 mm Hg increased by 22 percentage points (P\u2009=\u20090.007). However, unattended AOBP showed no change in either systolic (change: 0.1 mm Hg; P\u2009=\u20090.98) or diastolic (change: \u22120.6 mm Hg; P\u2009=\u20090.64) readings. Reimbursement was variable and ranged from no payment to a maximum payment of $51; when paid, the average payment was $13.81.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this program, SMBP decreased over time while AOBP remained similar. Reimbursement, when received, was modest. Future work should evaluate whether using SMBP as a therapeutic target reduces cardiovascular events.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ajh\/hpaf219","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T12:53:02Z","timestamp":1763470382000},"page":"661-669","source":"Crossref","is-referenced-by-count":1,"title":["Implementation of a Self-Measured Blood Pressure Pilot Program in an Academic Internal Medicine Practice"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5744-1099","authenticated-orcid":false,"given":"Jennifer L","family":"Cluett","sequence":"first","affiliation":[{"name":"Division of General Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School , Boston, MA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosemary","family":"Farahmand","sequence":"additional","affiliation":[{"name":"Atrius Health, Chestnut Hill , 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