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Improved blood pressure control via a novel chronic disease management model of care in sub‐Saharan Africa: Real‐world program implementation results

A chronic disease management model of care (Empower Health) was launched in rural and urban areas of Ghana and Kenya in 2018. The goal was to improve disease awareness, reduce the burden of disease, and improve the clinical effectiveness and efficiency of managing hypertension. Leveraging the model,...

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Autores principales: Otieno, Harun A., Miezah, Charles, Yonga, Gerald, Kueffer, Fred, Guy, Molly, Lang'At, Chemuttaai, Hettrick, Douglas A., Schmieder, Roland
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678676/
https://www.ncbi.nlm.nih.gov/pubmed/33471442
http://dx.doi.org/10.1111/jch.14174
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author Otieno, Harun A.
Miezah, Charles
Yonga, Gerald
Kueffer, Fred
Guy, Molly
Lang'At, Chemuttaai
Hettrick, Douglas A.
Schmieder, Roland
author_facet Otieno, Harun A.
Miezah, Charles
Yonga, Gerald
Kueffer, Fred
Guy, Molly
Lang'At, Chemuttaai
Hettrick, Douglas A.
Schmieder, Roland
author_sort Otieno, Harun A.
collection PubMed
description A chronic disease management model of care (Empower Health) was launched in rural and urban areas of Ghana and Kenya in 2018. The goal was to improve disease awareness, reduce the burden of disease, and improve the clinical effectiveness and efficiency of managing hypertension. Leveraging the model, clinicians provide patients with tailored management plans. Patients accessed regular blood pressure checks at home, at the clinic, or at community‐partner locations where they received real‐time feedback. On the mobile application, clinicians viewed patient data, provided direct patient feedback, and wrote electronic prescriptions accessible through participating pharmacies. To date, 1266 patients had been enrolled in the “real‐world” implementation cohort and followed for an average of 351 ± 133 days across 5 facilities. Average baseline systolic blood pressure (SBP) was 145 ± 21 mmHg in the overall cohort and 159 ± 16 mmHg in the subgroup with uncontrolled hypertension (n = 743) as defined by baseline SBP ≥ 140 mmHg. SBP decreased significantly through 12 months in both the overall cohort (−9.4 mmHg, p < .001) and in the uncontrolled subgroup (−17.6 mmHg, p < .001). The proportion patients with controlled pressure increased from 46% at baseline to 77% at 12 months (p < .001). In summary, a new chronic disease management model of care improved and sustained blood pressure control to 12 months, especially in those with elevated blood pressure at enrollment.
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spelling pubmed-86786762021-12-23 Improved blood pressure control via a novel chronic disease management model of care in sub‐Saharan Africa: Real‐world program implementation results Otieno, Harun A. Miezah, Charles Yonga, Gerald Kueffer, Fred Guy, Molly Lang'At, Chemuttaai Hettrick, Douglas A. Schmieder, Roland J Clin Hypertens (Greenwich) Hypertension in Africa A chronic disease management model of care (Empower Health) was launched in rural and urban areas of Ghana and Kenya in 2018. The goal was to improve disease awareness, reduce the burden of disease, and improve the clinical effectiveness and efficiency of managing hypertension. Leveraging the model, clinicians provide patients with tailored management plans. Patients accessed regular blood pressure checks at home, at the clinic, or at community‐partner locations where they received real‐time feedback. On the mobile application, clinicians viewed patient data, provided direct patient feedback, and wrote electronic prescriptions accessible through participating pharmacies. To date, 1266 patients had been enrolled in the “real‐world” implementation cohort and followed for an average of 351 ± 133 days across 5 facilities. Average baseline systolic blood pressure (SBP) was 145 ± 21 mmHg in the overall cohort and 159 ± 16 mmHg in the subgroup with uncontrolled hypertension (n = 743) as defined by baseline SBP ≥ 140 mmHg. SBP decreased significantly through 12 months in both the overall cohort (−9.4 mmHg, p < .001) and in the uncontrolled subgroup (−17.6 mmHg, p < .001). The proportion patients with controlled pressure increased from 46% at baseline to 77% at 12 months (p < .001). In summary, a new chronic disease management model of care improved and sustained blood pressure control to 12 months, especially in those with elevated blood pressure at enrollment. John Wiley and Sons Inc. 2021-01-20 /pmc/articles/PMC8678676/ /pubmed/33471442 http://dx.doi.org/10.1111/jch.14174 Text en © 2021 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Hypertension in Africa
Otieno, Harun A.
Miezah, Charles
Yonga, Gerald
Kueffer, Fred
Guy, Molly
Lang'At, Chemuttaai
Hettrick, Douglas A.
Schmieder, Roland
Improved blood pressure control via a novel chronic disease management model of care in sub‐Saharan Africa: Real‐world program implementation results
title Improved blood pressure control via a novel chronic disease management model of care in sub‐Saharan Africa: Real‐world program implementation results
title_full Improved blood pressure control via a novel chronic disease management model of care in sub‐Saharan Africa: Real‐world program implementation results
title_fullStr Improved blood pressure control via a novel chronic disease management model of care in sub‐Saharan Africa: Real‐world program implementation results
title_full_unstemmed Improved blood pressure control via a novel chronic disease management model of care in sub‐Saharan Africa: Real‐world program implementation results
title_short Improved blood pressure control via a novel chronic disease management model of care in sub‐Saharan Africa: Real‐world program implementation results
title_sort improved blood pressure control via a novel chronic disease management model of care in sub‐saharan africa: real‐world program implementation results
topic Hypertension in Africa
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678676/
https://www.ncbi.nlm.nih.gov/pubmed/33471442
http://dx.doi.org/10.1111/jch.14174
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