Omboni Stefano, Sala Elisa
Clinical Research Unit, Italian Institute of Telemedicine, Via Colombera 29, 21048 Solbiate Arno (Varese), Italy.
Expert Rev Cardiovasc Ther. 2015 Feb;13(2):209-21. doi: 10.1586/14779072.2015.1001368. Epub 2015 Jan 12.
Randomized controlled trials have documented that a team of health care professionals which includes a physician, a nurse and a community pharmacist may improve the benefit and adherence of anti-hypertensive therapy. If such a health care model relies on blood pressure telemonitoring, it can promote a stronger relationship between health care professionals and patients, and further improve BP control of hypertension. The major benefit of this collaborative approach is to center the patient's management in a tailored way, providing comprehensive and preventive care based on health information technologies. In this review, the authors summarize recent clinical studies that evaluate the role of the community pharmacist in BP measurements, and in hypertension screening and control. The authors also describe the advantages of using blood pressure telemonitoring in home and ambulatory settings to evaluate potential alternatives to primary care in hypertension management.
随机对照试验已证明,由一名医生、一名护士和一名社区药剂师组成的医疗保健专业团队可提高抗高血压治疗的益处和依从性。如果这种医疗保健模式依赖于血压远程监测,它可以促进医疗保健专业人员与患者之间建立更紧密的关系,并进一步改善高血压的血压控制。这种协作方法的主要好处是以量身定制的方式将患者管理作为核心,基于健康信息技术提供全面的预防性护理。在这篇综述中,作者总结了近期评估社区药剂师在血压测量、高血压筛查和控制中作用的临床研究。作者还描述了在家庭和门诊环境中使用血压远程监测以评估高血压管理中初级保健潜在替代方案的优势。