Pickering T G, Gerin W, Holland J K
LifeLink Monitoring, Inc., PO Box 152, Bearsville, NY, 12409, USA.
Curr Hypertens Rep. 1999 Dec;1(6):489-94. doi: 10.1007/s11906-996-0020-0.
The rate of control of high blood pressure is disappointing, and noncompliance is one factor that contributes to this. The reasons for poor compliance are complex and include factors related to the patient, the healthcare provider, and the medical system. In general, the lack of regular communication between the patient and the physician, as occurs in the traditional model of clinic-based care, predicts a low rate of blood pressure control. In addition, clinic-based blood pressure rates are notoriously unreliable. A solution to this dilemma is teletransmission of self- measured blood pressure readings, which offers the dual advantages of more reliable measurements, and the establishment of regular telephone communication between the patient and the healthcare provider. Preliminary evidence with this type of system suggests that blood pressure control can be improved substantially.
高血压的控制率令人失望，而不依从是导致这一情况的一个因素。依从性差的原因很复杂，包括与患者、医疗服务提供者和医疗系统相关的因素。一般来说，在传统的门诊护理模式中，患者与医生之间缺乏定期沟通预示着血压控制率较低。此外，门诊血压测量值的可靠性一直很差。解决这一困境的一个办法是远程传输自测血压读数，这具有测量更可靠以及能在患者和医疗服务提供者之间建立定期电话沟通这两个双重优势。这类系统的初步证据表明，血压控制情况可得到显著改善。
