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Improving Access to Home Blood Pressure Monitors at a Federally Qualified Health Center

Background: Self-monitoring of blood pressure (BP) clinically decreases BP. However, cost can limit access, especially in underserved populations. Objective: This mixed-methods pilot study aims to determine the impact of providing home BP monitors free of charge to patients at a federally qualified...

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Autores principales: Deshpande, Isha, Kanwar, Amrita, Swyers, Kendra, Garza, Aida, Litten, Kathryn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084406/
https://www.ncbi.nlm.nih.gov/pubmed/37051283
http://dx.doi.org/10.1177/87551225231156741
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author Deshpande, Isha
Kanwar, Amrita
Swyers, Kendra
Garza, Aida
Litten, Kathryn
author_facet Deshpande, Isha
Kanwar, Amrita
Swyers, Kendra
Garza, Aida
Litten, Kathryn
author_sort Deshpande, Isha
collection PubMed
description Background: Self-monitoring of blood pressure (BP) clinically decreases BP. However, cost can limit access, especially in underserved populations. Objective: This mixed-methods pilot study aims to determine the impact of providing home BP monitors free of charge to patients at a federally qualified health center (FQHC) by quantifying the effect on BP and surveying patients to measure satisfaction and engagement. Methods: One hundred eighty patients with clinically diagnosed hypertension received BP monitors. Patient charts were reviewed to collect demographics and office BP readings 3 months before and after receiving a monitor. A 13-question phone survey was conducted to a sample of patients addressing satisfaction and engagement. Answers were based on a Likert scale and dichotomous yes/no. Results were analyzed with descriptive statistics and paired t tests. Results: The chart review demonstrated a significant mean decrease in systolic BP by 5.44 mm Hg (P < 0.001, −8.03 to −2.84) and a mean decrease in diastolic BP by 2.70 mm Hg (P < 0.001, −4.08 to −1.32) after the intervention. For those included who responded to the survey (13%), there was a significant mean increase in the frequency of checking BP per week by 1.5 Likert points (P < 0.00001, −1.0 to −1.9), and a majority (57.8%) felt slightly or much more active in their health care in addition to other benefits. Conclusion: Providing BP monitors to FQHC patients free of charge may have contributed to a significantly decreased office BP, improved engagement, and satisfaction. This program removed cost barriers and allowed patients to be more active in their health care.
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spelling pubmed-100844062023-04-11 Improving Access to Home Blood Pressure Monitors at a Federally Qualified Health Center Deshpande, Isha Kanwar, Amrita Swyers, Kendra Garza, Aida Litten, Kathryn J Pharm Technol Research Reports Background: Self-monitoring of blood pressure (BP) clinically decreases BP. However, cost can limit access, especially in underserved populations. Objective: This mixed-methods pilot study aims to determine the impact of providing home BP monitors free of charge to patients at a federally qualified health center (FQHC) by quantifying the effect on BP and surveying patients to measure satisfaction and engagement. Methods: One hundred eighty patients with clinically diagnosed hypertension received BP monitors. Patient charts were reviewed to collect demographics and office BP readings 3 months before and after receiving a monitor. A 13-question phone survey was conducted to a sample of patients addressing satisfaction and engagement. Answers were based on a Likert scale and dichotomous yes/no. Results were analyzed with descriptive statistics and paired t tests. Results: The chart review demonstrated a significant mean decrease in systolic BP by 5.44 mm Hg (P < 0.001, −8.03 to −2.84) and a mean decrease in diastolic BP by 2.70 mm Hg (P < 0.001, −4.08 to −1.32) after the intervention. For those included who responded to the survey (13%), there was a significant mean increase in the frequency of checking BP per week by 1.5 Likert points (P < 0.00001, −1.0 to −1.9), and a majority (57.8%) felt slightly or much more active in their health care in addition to other benefits. Conclusion: Providing BP monitors to FQHC patients free of charge may have contributed to a significantly decreased office BP, improved engagement, and satisfaction. This program removed cost barriers and allowed patients to be more active in their health care. SAGE Publications 2023-03-11 2023-04 /pmc/articles/PMC10084406/ /pubmed/37051283 http://dx.doi.org/10.1177/87551225231156741 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Research Reports
Deshpande, Isha
Kanwar, Amrita
Swyers, Kendra
Garza, Aida
Litten, Kathryn
Improving Access to Home Blood Pressure Monitors at a Federally Qualified Health Center
title Improving Access to Home Blood Pressure Monitors at a Federally Qualified Health Center
title_full Improving Access to Home Blood Pressure Monitors at a Federally Qualified Health Center
title_fullStr Improving Access to Home Blood Pressure Monitors at a Federally Qualified Health Center
title_full_unstemmed Improving Access to Home Blood Pressure Monitors at a Federally Qualified Health Center
title_short Improving Access to Home Blood Pressure Monitors at a Federally Qualified Health Center
title_sort improving access to home blood pressure monitors at a federally qualified health center
topic Research Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084406/
https://www.ncbi.nlm.nih.gov/pubmed/37051283
http://dx.doi.org/10.1177/87551225231156741
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