{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T14:17:21Z","timestamp":1783693041324,"version":"3.55.0"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["K23HL157750"],"award-info":[{"award-number":["K23HL157750"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Uncontrolled hypertension is a leading cause of preventable cardiovascular mortality. Although self\u2010measured blood pressure (SMBP) monitoring is recommended by evidence\u2010based guidelines, adoption remains uneven in safety\u2010net health systems. We conducted a cross\u2010sectional analysis in an urban safety\u2010net health system to assess factors associated with documented SMBP adoption. Using electronic health record (EHR) data from patients included in a safety\u2010net health system's hypertension registry, we defined documented SMBP adoption as documentation of at least one patient\u2010reported value in the EHR. We evaluated factors associated with documented SMBP adoption using sequential multivariable logistic regression and hierarchical modeling to estimate patient\u2010, provider\u2010, and clinic\u2010level variation. We analyzed 15\u00a0937 patients cared for by 283 providers across 12 clinics. Twenty\u2010six percent (4186) of patients had documented SMBP adoption. In the full model, patients aged 75 years and older [vs. 18\u201334 years old] (aOR 2.37, 95% CI 1.62\u20133.55) and those with an activated patient portal (aOR 1.36, 95% CI 1.25\u20131.49) were more likely to have documented SMBP adoption, while patients experiencing homelessness (aOR 0.72, 95% CI 0.60\u20130.87) were less likely. Substantial variation in documented SMBP adoption was observed across clinics. In the hierarchical model, 75% of the variance in documented SMBP adoption was attributable to patient\u2010level factors, 19% to clinics, and 6% to providers. Given that nearly one\u2010quarter of the variation in documented SMBP adoption was attributable to nonpatient factors, clinic\u2010 and provider\u2010level workflows may be modifiable targets to improve equitable uptake and documentation of SMBP monitoring in safety\u2010net health systems.<\/jats:p>","DOI":"10.1111\/jch.70318","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T15:52:41Z","timestamp":1781797961000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With Evidence of Self\u2010Measured Blood Pressure Adoption in an Urban Safety\u2010Net Health System"],"prefix":"10.1111","volume":"28","author":[{"given":"Isabel","family":"Luna","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine University of California San Francisco  San Francisco California USA"},{"name":"UCSF Action Research Center for Health Zuckerberg San Francisco General Hospital University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raagavalli","family":"Karumanchi","sequence":"additional","affiliation":[{"name":"Barnard College, Columbia University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaivind S.","family":"Grewal","sequence":"additional","affiliation":[{"name":"College of Osteopathic Medicine California Health Sciences University  Clovis California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil S.","family":"Zhang","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge A.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark J.","family":"Pletcher","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urmimala","family":"Sarkar","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine University of California San Francisco  San Francisco California USA"},{"name":"UCSF Action Research Center for Health Zuckerberg San Francisco General Hospital University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine C.","family":"Khoong","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine University of California San Francisco  San Francisco California USA"},{"name":"UCSF Action Research Center for Health Zuckerberg San Francisco General Hospital University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Global Report on Hypertension 2025: High Stakes: Turning Evidence Into Action","author":"World Health Organization","year":"2025"},{"key":"e_1_2_9_3_1","unstructured":"Centers for Disease Control and Prevention. \u201cMultiple Cause of Death Data on CDC WONDER \u201d accessed January 24 2026 https:\/\/wonder.cdc.gov\/mcd.html."},{"key":"e_1_2_9_4_1","unstructured":"Centers for Disease Control and Prevention \u201cHypertension Cascade: Hypertension Prevalence Treatment and Control Estimates Among US Adults Aged 18 Years and Older Applying the Criteria From the American College of Cardiology and American Heart Association's 2017 Hypertension 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